Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $104.71 / $194.98	Professional		$63.10	$104.71	$194.98
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $89.13 / $151.36 / $302.00	Professional	25	$89.13	$151.36	$302.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $114.82 / $120.23	Professional		$89.13	$114.82	$120.23
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $87.10 / $117.49 / $177.83	Professional	25	$87.10	$117.49	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $70.79 / $147.91	Professional		$47.86	$70.79	$147.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $85.11 / $102.33	Facility		$69.18	$85.11	$102.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $114.82 / $154.88	Professional		$95.50	$114.82	$154.88
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 / $104.71 / $588.84	Professional		$61.66	$104.71	$588.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $69.18	Professional		$32.36	$33.11	$69.18
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $83.18 / $128.82	Professional		$53.70	$83.18	$128.82