Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.40 / $382.27 / $12,886.56	Facility		$107.40	$382.27	$12,886.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $107.40 / $146.02	Professional		$106.33	$107.40	$146.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.04 / $136.04 / $163.60	Professional		$136.04	$136.04	$163.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $212.66 / $262.56	Facility		$106.33	$212.66	$262.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $136.04 / $187.73	Professional		$106.33	$136.04	$187.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $127.60 / $170.13	Facility		$106.33	$127.60	$170.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $143.55	Professional		$106.33	$106.33	$143.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.33 / $106.33 / $600.41	Facility		$106.33	$106.33	$600.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $186.75	Professional		$106.33	$106.33	$186.75
United Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $112.71 / $165.72	Professional		$106.33	$112.71	$165.72