Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.08 / $113.87 / $351.84	Facility		$83.08	$113.87	$351.84
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $131.60 / $198.43 / $368.87	Facility	25	$131.60	$198.43	$368.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.37 / $129.68 / $233.29	Professional		$91.37	$129.68	$233.29
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $96.09 / $183.41 / $318.17	Professional	25	$96.09	$183.41	$318.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.04 / $182.00 / $249.06	Professional		$132.04	$182.00	$249.06
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $145.24 / $198.06 / $249.06	Professional	25	$145.24	$198.06	$249.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.80 / $147.04 / $219.13	Professional		$94.80	$147.04	$219.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.74 / $158.44 / $198.06	Facility		$128.74	$158.44	$198.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $166.04 / $199.25 / $249.06	Professional		$166.04	$199.25	$249.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $162.00 / $191.64	Facility		$115.00	$162.00	$191.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.11 / $152.86 / $245.98	Professional		$105.11	$152.86	$245.98
United Facility/Professional Professional Modifier Low / Median / High Price $118.68 / $143.88 / $204.99	Professional		$118.68	$143.88	$204.99