Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $21.88 / $223.87	Facility		$16.60	$21.88	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $36.31 / $61.66	Professional		$18.62	$36.31	$61.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $95.50 / $95.50 / $95.50	Professional	25	$95.50	$95.50	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $22.91 / $31.62	Professional		$18.20	$22.91	$31.62
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $26.92 / $26.92 / $26.92	Professional	25	$26.92	$26.92	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Facility		$25.12	$25.12	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.70 / $35.48	Professional		$19.50	$25.70	$35.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $23.99 / $33.11	Facility		$17.78	$23.99	$33.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $29.51 / $38.02	Professional		$21.88	$29.51	$38.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $41.69 / $41.69	Facility		$37.15	$41.69	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $36.31 / $158.49	Professional		$19.05	$36.31	$158.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $20.42 / $33.11	Professional		$10.72	$20.42	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $33.11 / $52.48	Professional		$21.88	$33.11	$52.48