Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.25 / $179.02 / $543.36	Facility		$79.25	$179.02	$543.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.25 / $94.94	Professional		$79.00	$79.25	$94.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $78.45 / $78.45	Professional		$78.45	$78.45	$78.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $158.00 / $191.18	Facility		$79.00	$158.00	$191.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $109.02	Professional		$79.00	$79.00	$109.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $118.50	Facility		$79.00	$79.00	$118.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $98.75	Professional		$79.00	$79.00	$98.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.00 / $79.00 / $87.85	Facility		$79.00	$79.00	$87.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $79.00 / $91.80	Professional		$79.00	$79.00	$91.80
United Facility/Professional Professional Modifier Low / Median / High Price $79.00 / $83.74 / $97.20	Professional		$79.00	$83.74	$97.20