Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $69.18 / $251.19	Facility		$25.12	$69.18	$251.19
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $72.44 / $194.98 / $501.19	Facility	25	$72.44	$194.98	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $52.48 / $102.33	Professional		$28.18	$52.48	$102.33
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $31.62 / $56.23 / $114.82	Professional	25	$31.62	$56.23	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $52.48 / $72.44	Professional		$30.90	$52.48	$72.44
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $40.74 / $54.95 / $77.62	Professional	25	$40.74	$54.95	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $44.67 / $70.79	Professional		$25.12	$44.67	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $41.69 / $52.48	Facility		$33.11	$41.69	$52.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $61.66 / $81.28	Professional		$51.29	$61.66	$81.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $42.66 / $66.07	Facility		$25.70	$42.66	$66.07
Cigna Facility/Professional Facility Modifier 22 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	22	$64.57	$64.57	$64.57
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $33.88 / $33.88 / $33.88	Facility	62	$33.88	$33.88	$33.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $5.37 / $5.37 / $5.37	Facility	AS	$5.37	$5.37	$5.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $45.71 / $83.18	Professional		$28.18	$45.71	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $36.31 / $48.98	Facility		$19.95	$36.31	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $37.15 / $57.54	Professional		$23.44	$37.15	$57.54