Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $107.15 / $288.40	Facility		$81.28	$107.15	$288.40
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $31.62 / $102.33 / $281.84	Facility	25	$31.62	$102.33	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $165.96 / $354.81	Professional		$95.50	$165.96	$354.81
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $109.65 / $194.98 / $380.19	Professional	25	$109.65	$194.98	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $165.96 / $229.09	Professional		$123.03	$165.96	$229.09
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $128.82 / $165.96 / $229.09	Professional	25	$128.82	$165.96	$229.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $229.09	Professional		$102.33	$169.82	$229.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $158.49 / $199.53	Facility		$125.89	$158.49	$199.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $186.21 / $245.47	Professional		$154.88	$186.21	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $114.82 / $204.17	Facility		$102.33	$114.82	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $162.18 / $269.15	Professional		$123.03	$162.18	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $123.03 / $151.36	Facility		$69.18	$123.03	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $147.91 / $218.78	Professional		$112.20	$147.91	$218.78