Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.09 / $104.45 / $144.33	Professional		$64.09	$104.45	$144.33
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $89.22 / $111.79 / $280.29	Professional	25	$89.22	$111.79	$280.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $103.97 / $114.56 / $156.51	Professional		$103.97	$114.56	$156.51
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $86.20 / $86.20 / $114.56	Professional	25	$86.20	$86.20	$114.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.61 / $70.38 / $142.57	Professional		$47.61	$70.38	$142.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.95 / $75.86 / $99.99	Facility		$68.95	$75.86	$99.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.27 / $114.45 / $156.51	Professional		$109.27	$114.45	$156.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.68 / $120.68 / $120.68	Facility		$120.68	$120.68	$120.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $99.56 / $182.28	Professional		$60.00	$99.56	$182.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $69.80	Professional		$32.34	$32.34	$69.80
United Facility/Professional Professional Modifier Low / Median / High Price $83.28 / $102.50 / $158.06	Professional		$83.28	$102.50	$158.06