Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.35 / $71.08 / $234.72	Facility		$50.35	$71.08	$234.72
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $97.79 / $110.45 / $501.01	Facility	25	$97.79	$110.45	$501.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.68 / $89.35 / $150.00	Professional		$58.68	$89.35	$150.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $67.33 / $110.24 / $173.94	Professional	25	$67.33	$110.24	$173.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.43 / $104.78 / $153.41	Professional		$77.43	$104.78	$153.41
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $97.29 / $127.85 / $153.41	Professional	25	$97.29	$127.85	$153.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.90 / $106.19 / $148.78	Professional		$72.90	$106.19	$148.78
Anthem BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $88.33 / $88.33 / $88.33	Professional	25	$88.33	$88.33	$88.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.97 / $89.81 / $112.26	Facility		$72.97	$89.81	$112.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.28 / $122.74 / $153.41	Professional		$102.28	$122.74	$153.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $114.26 / $125.00	Facility		$100.00	$114.26	$125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.09 / $106.06 / $160.59	Professional		$76.09	$106.06	$160.59
United Facility/Professional Professional Modifier Low / Median / High Price $87.48 / $107.20 / $148.06	Professional		$87.48	$107.20	$148.06