Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.52 / $111.45 / $6,336.19	Facility		$50.52	$111.45	$6,336.19
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $84.55 / $392.21 / $4,939.68	Facility	25	$84.55	$392.21	$4,939.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.52 / $82.40 / $159.00	Professional		$50.52	$82.40	$159.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $95.73 / $112.62	Professional		$75.08	$95.73	$112.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.63 / $97.63 / $188.43	Facility		$97.63	$97.63	$188.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $92.34 / $131.80	Professional		$75.22	$92.34	$131.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $97.31 / $112.62	Facility		$73.20	$97.31	$112.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.08 / $87.94 / $112.62	Professional		$75.08	$87.94	$112.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.44 / $94.44 / $94.44	Facility		$94.44	$94.44	$94.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.29 / $96.17 / $164.44	Professional		$72.29	$96.17	$164.44
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $98.36 / $135.53	Professional		$79.43	$98.36	$135.53