Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.42 / $112.56 / $134.16	Facility		$84.42	$112.56	$134.16
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $499.20 / $499.20 / $499.20	Facility	25	$499.20	$499.20	$499.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.42 / $125.00 / $211.02	Professional		$84.42	$125.00	$211.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.67 / $154.91 / $168.94	Professional		$120.67	$154.91	$168.94
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.04 / $111.82 / $183.47	Professional		$95.04	$111.82	$183.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.67 / $154.91 / $193.07	Facility		$120.67	$154.91	$193.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.67 / $150.84 / $196.30	Professional		$120.67	$150.84	$196.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.80 / $149.03 / $149.03	Facility		$116.80	$149.03	$149.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.39 / $160.49 / $272.29	Professional		$117.39	$160.49	$272.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $156.87	Professional		$32.34	$32.34	$156.87
United Facility/Professional Professional Modifier Low / Median / High Price $114.73 / $133.24 / $219.08	Professional		$114.73	$133.24	$219.08