Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.10 / $113.66 / $179.74	Facility		$94.10	$113.66	$179.74
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $270.81 / $270.81 / $3,880.80	Facility	25	$270.81	$270.81	$3,880.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.86 / $167.60 / $266.85	Professional		$110.86	$167.60	$266.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.06 / $198.83 / $262.42	Professional		$159.06	$198.83	$262.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.76 / $205.76 / $397.12	Facility		$205.76	$205.76	$397.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.41 / $181.84 / $277.77	Professional		$147.41	$181.84	$277.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.09 / $204.41 / $238.59	Facility		$155.09	$204.41	$238.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.06 / $185.05 / $238.59	Professional		$159.06	$185.05	$238.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.63 / $197.63 / $197.63	Facility		$197.63	$197.63	$197.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.07 / $200.93 / $318.12	Professional		$157.07	$200.93	$318.12
United Facility/Professional Professional Modifier Low / Median / High Price $165.91 / $199.02 / $269.52	Professional		$165.91	$199.02	$269.52