Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.78 / $121.99 / $365.24	Facility		$46.78	$121.99	$365.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $55.38	Professional		$46.32	$46.32	$55.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $46.35 / $46.35	Professional		$46.35	$46.35	$46.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $92.64 / $112.09	Facility		$46.32	$92.64	$112.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $63.92	Professional		$46.32	$46.32	$63.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $46.32 / $69.48	Facility		$46.32	$46.32	$69.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $57.90	Professional		$46.32	$46.32	$57.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $46.32 / $68.51	Facility		$46.32	$46.32	$68.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $81.56	Professional		$46.32	$46.32	$81.56
United Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $49.10 / $61.87	Professional		$46.32	$49.10	$61.87