Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.45 / $101.45 / $157.27	Facility		$101.45	$101.45	$157.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.90 / $132.13 / $185.94	Professional		$79.90	$132.13	$185.94
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $133.31 / $143.93 / $341.58	Professional	25	$133.31	$143.93	$341.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.51 / $132.66 / $185.74	Professional		$110.51	$132.66	$185.74
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $106.98 / $106.98 / $199.01	Professional	25	$106.98	$106.98	$199.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.75 / $86.47 / $174.88	Professional		$61.75	$86.47	$174.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.58 / $94.14 / $124.09	Facility		$85.58	$94.14	$124.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $135.63 / $189.90	Professional		$129.68	$135.63	$189.90
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 $75.08 / $123.68 / $221.51	Professional		$75.08	$123.68	$221.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $94.51	Professional		$32.34	$32.34	$94.51
United Facility/Professional Professional Modifier Low / Median / High Price $99.80 / $122.13 / $194.48	Professional		$99.80	$122.13	$194.48