Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.01 / $122.16 / $165.65	Facility		$101.01	$122.16	$165.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.69 / $134.16 / $218.60	Professional		$101.69	$134.16	$218.60
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $442.00 / $442.00 / $442.00	Professional	25	$442.00	$442.00	$442.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.44 / $118.88 / $168.68	Professional		$93.44	$118.88	$168.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $126.00 / $126.00	Facility		$120.00	$126.00	$126.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.63 / $117.31 / $170.15	Professional		$92.63	$117.31	$170.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.41 / $132.55 / $185.57	Facility		$99.41	$132.55	$185.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.63 / $164.84 / $211.91	Professional		$123.63	$164.84	$211.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $231.96 / $231.96 / $231.96	Facility		$231.96	$231.96	$231.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $129.26 / $226.50	Professional		$70.00	$129.26	$226.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $78.67 / $112.39	Professional		$32.34	$78.67	$112.39
United Facility/Professional Professional Modifier Low / Median / High Price $104.79 / $139.72 / $274.18	Professional		$104.79	$139.72	$274.18