Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $112.20 / $7,762.47	Facility		$58.88	$112.20	$7,762.47
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $91.20 / $123.03 / $6,025.60	Facility	25	$91.20	$123.03	$6,025.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $93.33 / $194.98	Professional		$58.88	$93.33	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $87.10 / $112.20	Professional		$70.79	$87.10	$112.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $190.55	Facility		$97.72	$97.72	$190.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $151.36	Professional		$75.86	$97.72	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $100.00 / $128.82	Facility		$75.86	$100.00	$128.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $97.72 / $123.03	Professional		$75.86	$97.72	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $173.78	Professional		$74.13	$100.00	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Facility		$58.88	$58.88	$58.88
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $97.72 / $138.04	Professional		$79.43	$97.72	$138.04