Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.97 / $239.55 / $24,297.84	Facility		$85.97	$239.55	$24,297.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.96 / $103.15	Professional		$85.12	$85.96	$103.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $85.25	Professional		$85.12	$85.12	$85.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $170.24 / $205.99	Facility		$85.12	$170.24	$205.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $117.46	Professional		$85.12	$85.12	$117.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $85.25 / $127.68	Facility		$85.12	$85.25	$127.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $106.40	Professional		$85.12	$85.12	$106.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $85.12 / $85.89	Facility		$85.12	$85.12	$85.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $96.36	Professional		$85.12	$85.12	$96.36
United Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $91.16 / $98.59	Professional		$85.12	$91.16	$98.59