Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $74.13 / $3,890.45	Facility		$54.95	$74.13	$3,890.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $77.62	Professional		$54.95	$54.95	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $66.07 / $104.71	Facility		$63.10	$66.07	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $112.20	Facility		$69.18	$69.18	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.44 / $97.72	Professional		$69.18	$72.44	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $112.20 / $112.20	Facility		$54.95	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $295.12	Professional		$54.95	$54.95	$295.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $72.44	Professional		$54.95	$57.54	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $69.18	Professional		$54.95	$58.88	$69.18