Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $124.93 / $188.27	Professional		$79.56	$124.93	$188.27
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $143.93 / $162.38 / $204.44	Professional	25	$143.93	$162.38	$204.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.39 / $135.32 / $142.91	Professional		$123.39	$135.32	$142.91
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $126.34 / $135.63 / $173.89	Professional	25	$126.34	$135.63	$173.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $92.55 / $169.06	Professional		$61.75	$92.55	$169.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.34 / $90.66 / $120.88	Facility		$86.34	$90.66	$120.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.66 / $135.85 / $169.81	Professional		$132.66	$135.85	$169.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.77 / $149.77 / $149.77	Facility		$149.77	$149.77	$149.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.69 / $123.96 / $217.98	Professional		$80.69	$123.96	$217.98
United Facility/Professional Professional Modifier Low / Median / High Price $99.80 / $137.38 / $190.83	Professional		$99.80	$137.38	$190.83