Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.48 / $16.21 / $150.00	Facility		$6.48	$16.21	$150.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $59.13 / $139.65 / $190.16	Facility	25	$59.13	$139.65	$190.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $17.57 / $37.93	Professional		$6.40	$17.57	$37.93
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $19.64 / $36.86 / $78.97	Professional	25	$19.64	$36.86	$78.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $20.59 / $26.77	Professional		$9.64	$20.59	$26.77
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $17.50 / $20.59 / $22.09	Professional	25	$17.50	$20.59	$22.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.00 / $150.00 / $150.00	Facility		$112.00	$150.00	$150.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.33 / $16.98 / $25.40	Professional		$8.33	$16.98	$25.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $10.13 / $13.09	Facility		$8.10	$10.13	$13.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $23.68 / $31.71	Professional		$10.13	$23.68	$31.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.66 / $11.66 / $95.00	Facility		$11.66	$11.66	$95.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $19.46 / $35.32	Professional		$8.52	$19.46	$35.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.48 / $32.34 / $32.34	Professional		$7.48	$32.34	$32.34
United Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $21.98 / $35.64	Professional		$16.91	$21.98	$35.64