Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $85.11 / $19,498.45	Facility		$30.20	$85.11	$19,498.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $38.90	Professional		$30.20	$30.20	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $45.71 / $66.07	Facility		$35.48	$45.71	$66.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $57.54	Professional		$30.20	$30.20	$57.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $52.48	Facility		$29.51	$29.51	$52.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $32.36	Professional		$29.51	$29.51	$32.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $162.18	Facility		$30.20	$30.20	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $93.33	Professional		$30.20	$30.20	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $69.18	Facility		$29.51	$29.51	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $60.26	Professional		$30.20	$42.66	$60.26