Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.03 / $160.60 / $188.94	Facility		$125.03	$160.60	$188.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $160.60 / $217.19	Professional		$124.37	$160.60	$217.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $234.12 / $234.12 / $234.12	Professional	25	$234.12	$234.12	$234.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.07 / $163.36 / $308.50	Professional		$119.07	$163.36	$308.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.00 / $130.00 / $165.00	Facility		$130.00	$130.00	$165.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $128.80 / $199.16	Professional		$86.06	$128.80	$199.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.36 / $159.13 / $206.88	Facility		$119.36	$159.13	$206.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $169.71 / $208.28 / $255.99	Professional		$169.71	$208.28	$255.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Facility		$125.00	$125.00	$125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $164.45 / $290.94	Professional		$75.00	$164.45	$290.94
United Facility/Professional Professional Modifier Low / Median / High Price $121.27 / $154.91 / $267.33	Professional		$121.27	$154.91	$267.33