Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $51.29 / $15,135.61	Facility		$30.20	$51.29	$15,135.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $38.02	Professional		$30.20	$30.20	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $63.10	Professional		$51.29	$51.29	$63.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $35.48 / $57.54	Facility		$33.88	$35.48	$57.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $30.20 / $30.20	Professional		$29.51	$30.20	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $46.77	Facility		$29.51	$29.51	$46.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $38.02	Professional		$29.51	$29.51	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $87.10 / $87.10	Facility		$30.20	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.88 / $47.86	Professional		$30.20	$33.88	$47.86