Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.56 / $82.57 / $130.85	Facility		$56.56	$82.57	$130.85
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $84.79 / $229.71 / $387.40	Facility	25	$84.79	$229.71	$387.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.84 / $97.07 / $179.39	Professional		$59.84	$97.07	$179.39
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $61.00 / $112.58 / $199.06	Professional	25	$61.00	$112.58	$199.06
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $94.50 / $287.60 / $287.60	Professional	50	$94.50	$287.60	$287.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.21 / $120.16 / $177.21	Professional		$89.21	$120.16	$177.21
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $98.13 / $139.33 / $177.21	Professional	25	$98.13	$139.33	$177.21
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $150.63 / $177.21 / $177.21	Professional	50	$150.63	$177.21	$177.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.26 / $108.71 / $160.55	Professional		$61.26	$108.71	$160.55
Anthem BCBS Facility/Professional Professional Modifier 25 Low / Median / High Price $76.31 / $76.31 / $76.31	Professional	25	$76.31	$76.31	$76.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.98 / $107.05 / $133.82	Facility		$86.98	$107.05	$133.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.14 / $141.59 / $177.21	Professional		$118.14	$141.59	$177.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $115.00 / $129.72	Facility		$100.00	$115.00	$129.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.23 / $110.87 / $176.73	Professional		$69.23	$110.87	$176.73
United Facility/Professional Professional Modifier Low / Median / High Price $85.67 / $105.39 / $150.38	Professional		$85.67	$105.39	$150.38