Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $16.82 / $119.28	Facility		$5.75	$16.82	$119.28
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $51.07 / $135.97 / $190.45	Facility	25	$51.07	$135.97	$190.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.82 / $16.54 / $29.59	Professional		$5.82	$16.54	$29.59
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.92 / $26.87 / $34.72	Professional	25	$14.92	$26.87	$34.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $23.31 / $31.79	Professional		$10.49	$23.31	$31.79
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $21.19 / $24.97 / $31.79	Professional	25	$21.19	$24.97	$31.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.80 / $19.98 / $29.16	Professional		$9.80	$19.98	$29.16
Anthem BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $20.00 / $20.00 / $20.00	Professional	25	$20.00	$20.00	$20.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.87 / $9.68 / $12.11	Facility		$7.87	$9.68	$12.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.19 / $25.43 / $31.79	Professional		$21.19	$25.43	$31.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $30.00 / $120.00	Facility		$11.66	$30.00	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $20.68 / $33.92	Professional		$9.11	$20.68	$33.92
United Facility/Professional Facility Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Facility		$49.00	$49.00	$49.00
United Facility/Professional Professional Modifier Low / Median / High Price $17.95 / $21.98 / $31.64	Professional		$17.95	$21.98	$31.64