Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $52.74 / $8,328.10	Facility		$46.32	$52.74	$8,328.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $63.82	Professional		$46.32	$46.32	$63.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $46.35	Professional		$46.32	$46.32	$46.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.44 / $54.63 / $92.64	Facility		$52.44	$54.63	$92.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $53.79	Professional		$46.32	$46.32	$53.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $55.58 / $74.11	Facility		$46.32	$55.58	$74.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $50.95 / $71.33	Professional		$46.32	$50.95	$71.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.32 / $90.83 / $90.83	Facility		$46.32	$90.83	$90.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $46.32 / $71.86	Professional		$46.32	$46.32	$71.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.35 / $46.35 / $60.26	Professional		$46.35	$46.35	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $46.32 / $49.10 / $52.74	Professional		$46.32	$49.10	$52.74