Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.27 / $471.06 / $13,559.03	Facility		$174.27	$471.06	$13,559.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $174.27 / $208.79	Professional		$173.03	$174.27	$208.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.55 / $172.55 / $172.55	Professional		$172.55	$172.55	$172.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $346.06 / $418.73	Facility		$173.03	$346.06	$418.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $238.78	Professional		$173.03	$173.03	$238.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.55 / $173.03 / $259.55	Facility		$172.55	$173.03	$259.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $216.29	Professional		$173.03	$173.03	$216.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $184.79	Facility		$173.03	$173.03	$184.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $195.88	Professional		$173.03	$173.03	$195.88
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $183.41 / $205.91	Professional		$173.03	$183.41	$205.91