Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.37 / $55.08 / $135.04	Facility		$29.37	$55.08	$135.04
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $233.54 / $233.54 / $233.54	Facility	25	$233.54	$233.54	$233.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.50 / $55.46 / $95.00	Professional		$33.50	$55.46	$95.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $43.11 / $82.23 / $130.00	Professional	25	$43.11	$82.23	$130.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.69 / $65.78 / $98.67	Professional		$43.69	$65.78	$98.67
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $55.91 / $78.27 / $98.67	Professional	25	$55.91	$78.27	$98.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $65.09 / $98.73	Professional		$48.40	$65.09	$98.73
Anthem BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $59.67 / $59.67 / $59.67	Professional	25	$59.67	$59.67	$59.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.03 / $51.73 / $64.67	Facility		$42.03	$51.73	$64.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $75.65 / $98.67	Professional		$65.78	$75.65	$98.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.64 / $80.00 / $120.00	Facility		$62.64	$80.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.46 / $68.48 / $104.62	Professional		$47.46	$68.48	$104.62
United Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $74.25 / $104.28	Professional		$61.00	$74.25	$104.28