Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $165.96 / $223.87	Facility		$114.82	$165.96	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $151.36 / $302.00	Professional		$109.65	$151.36	$302.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $676.08 / $676.08 / $676.08	Professional	25	$676.08	$676.08	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $177.83	Professional		$104.71	$134.90	$177.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $173.78	Professional		$83.18	$112.20	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $141.25 / $194.98	Facility		$104.71	$141.25	$194.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $173.78 / $229.09	Professional		$128.82	$173.78	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Facility		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $158.49 / $812.83	Professional		$93.33	$158.49	$812.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $91.20 / $128.82	Professional		$32.36	$91.20	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $151.36 / $257.04	Professional		$107.15	$151.36	$257.04