Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.59 / $82.40 / $96.94	Facility		$64.59	$82.40	$96.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.95 / $88.79 / $130.19	Professional		$68.95	$88.79	$130.19
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $117.65 / $117.65 / $117.65	Professional	25	$117.65	$117.65	$117.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.34 / $75.93 / $133.91	Professional		$56.34	$75.93	$133.91
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $78.12 / $78.12 / $78.12	Professional	25	$78.12	$78.12	$78.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $126.00 / $149.32	Facility		$126.00	$126.00	$149.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $82.39 / $112.75	Professional		$64.58	$82.39	$112.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.95 / $89.28 / $116.06	Facility		$66.95	$89.28	$116.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $101.15 / $116.32 / $139.94	Professional		$101.15	$116.32	$139.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.00 / $260.00 / $260.00	Facility		$95.00	$260.00	$260.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $90.95 / $140.41	Professional		$63.00	$90.95	$140.41
United Facility/Professional Professional Modifier Low / Median / High Price $72.56 / $94.97 / $143.05	Professional		$72.56	$94.97	$143.05