Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $114.82 / $208.93	Professional		$60.26	$114.82	$208.93
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $72.44 / $138.04 / $199.53	Professional	25	$72.44	$138.04	$199.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $120.23 / $154.88	Professional		$107.15	$120.23	$154.88
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $107.15 / $107.15 / $107.15	Professional	25	$107.15	$107.15	$107.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $81.28 / $141.25	Professional		$47.86	$81.28	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $72.44 / $97.72	Facility		$56.23	$72.44	$97.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $117.49 / $147.91	Professional		$114.82	$117.49	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $173.78	Professional		$61.66	$97.72	$173.78
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $144.54	Professional		$60.26	$95.50	$144.54