Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.73 / $427.61 / $1,163.09	Facility		$57.73	$427.61	$1,163.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.06 / $124.00	Professional		$40.65	$41.06	$124.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.07 / $54.07 / $61.80	Professional		$54.07	$54.07	$61.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.68 / $81.30 / $121.95	Facility		$42.68	$81.30	$121.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $41.20 / $61.80	Professional		$40.65	$41.20	$61.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $41.20 / $60.98	Facility		$40.65	$41.20	$60.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $50.81	Professional		$40.65	$40.65	$50.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $40.65 / $40.65	Facility		$40.65	$40.65	$40.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $83.50	Professional		$40.65	$40.65	$83.50
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $54.30	Professional		$40.65	$40.65	$54.30