Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $173.06 / $25,227.49	Facility		$62.72	$173.06	$25,227.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.71 / $71.41	Professional		$62.10	$62.71	$71.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.39 / $63.39 / $63.39	Professional		$63.39	$63.39	$63.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $124.20 / $150.28	Facility		$62.10	$124.20	$150.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $85.69	Professional		$62.10	$62.10	$85.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $93.15	Facility		$62.10	$62.10	$93.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $77.63	Professional		$62.10	$62.10	$77.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $62.10 / $78.84	Facility		$62.10	$62.10	$78.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $62.10 / $78.59	Professional		$62.10	$62.10	$78.59
United Facility/Professional Professional Modifier Low / Median / High Price $62.10 / $66.51 / $77.00	Professional		$62.10	$66.51	$77.00