Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.86 / $103.07 / $156.54	Facility		$71.86	$103.07	$156.54
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $31.40 / $31.40 / $297.06	Facility	25	$31.40	$31.40	$297.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.46 / $138.77 / $226.20	Professional		$89.46	$138.77	$226.20
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $99.71 / $172.10 / $267.00	Professional	25	$99.71	$172.10	$267.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.81 / $164.39 / $230.67	Professional		$123.81	$164.39	$230.67
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $152.69 / $192.23 / $230.67	Professional	25	$152.69	$192.23	$230.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.50 / $148.86 / $214.08	Professional		$103.50	$148.86	$214.08
Anthem BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $125.65 / $125.65 / $125.65	Professional	25	$125.65	$125.65	$125.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.11 / $146.59 / $183.24	Facility		$119.11	$146.59	$183.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $184.54 / $230.67	Professional		$153.78	$184.54	$230.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $103.07 / $145.00 / $178.29	Facility		$103.07	$145.00	$178.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.73 / $161.60 / $244.33	Professional		$117.73	$161.60	$244.33
United Facility/Professional Facility Modifier Low / Median / High Price $141.00 / $141.00 / $160.00	Facility		$141.00	$141.00	$160.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.66 / $165.29 / $227.08	Professional		$133.66	$165.29	$227.08