Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.79 / $100.36 / $176.64	Facility		$71.79	$100.36	$176.64
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $152.00 / $152.00 / $152.00	Facility	25	$152.00	$152.00	$152.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.92 / $106.00 / $239.77	Professional		$66.92	$106.00	$239.77
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $79.11 / $133.90 / $368.66	Professional	25	$79.11	$133.90	$368.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.70 / $124.03 / $140.29	Professional		$96.70	$124.03	$140.29
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $85.78 / $115.59 / $140.29	Professional	25	$85.78	$115.59	$140.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.58 / $73.58 / $73.58	Facility		$73.58	$73.58	$73.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.50 / $100.66 / $136.54	Professional		$75.50	$100.66	$136.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.05 / $103.08 / $127.74	Facility		$76.05	$103.08	$127.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.22 / $132.96 / $240.06	Professional		$99.22	$132.96	$240.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.93 / $133.41 / $148.00	Facility		$102.93	$133.41	$148.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.70 / $103.65 / $143.38	Professional		$76.70	$103.65	$143.38
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $111.21 / $141.75 / $159.18	Professional		$111.21	$141.75	$159.18
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $98.65 / $141.01 / $161.33	Professional	25	$98.65	$141.01	$161.33
United Facility/Professional Professional Modifier Low / Median / High Price $88.74 / $107.20 / $152.16	Professional		$88.74	$107.20	$152.16