Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $48.98 / $229.09	Facility		$6.76	$48.98	$229.09
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $51.29 / $128.82 / $245.47	Facility	25	$51.29	$128.82	$245.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $19.95 / $42.66	Professional		$6.92	$19.95	$42.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $18.62 / $30.90 / $64.57	Professional	25	$18.62	$30.90	$64.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $21.38 / $31.62	Professional		$8.32	$21.38	$31.62
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $18.20 / $22.39 / $29.51	Professional	25	$18.20	$22.39	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $20.42 / $30.20	Professional		$9.77	$20.42	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $10.47 / $12.88	Facility		$8.32	$10.47	$12.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $25.12 / $33.11	Professional		$21.38	$25.12	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $30.20 / $120.23	Facility		$25.12	$30.20	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $20.42 / $34.67	Professional		$9.12	$20.42	$34.67
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $18.62 / $48.98	Facility		$7.08	$18.62	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $17.78 / $28.18	Professional		$8.32	$17.78	$28.18