Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.74 / $32.24 / $50.77	Facility		$26.74	$32.24	$50.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $44.93 / $89.79	Professional		$30.31	$44.93	$89.79
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $35.65 / $46.92 / $85.80	Professional	25	$35.65	$46.92	$85.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.19 / $56.16 / $71.89	Professional		$38.19	$56.16	$71.89
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $67.40 / $67.40 / $67.40	Professional	25	$67.40	$67.40	$67.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.16 / $41.16 / $87.39	Facility		$41.16	$41.16	$87.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.92 / $41.16 / $56.16	Professional		$32.92	$41.16	$56.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.93 / $57.78 / $67.40	Facility		$44.93	$57.78	$67.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $52.31 / $67.40	Professional		$44.93	$52.31	$67.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.54 / $56.54 / $56.54	Facility		$56.54	$56.54	$56.54
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $5.48 / $5.48 / $5.48	Facility	AS	$5.48	$5.48	$5.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $48.91 / $71.93	Professional		$34.35	$48.91	$71.93
United Facility/Professional Professional Modifier Low / Median / High Price $33.25 / $39.92 / $55.10	Professional		$33.25	$39.92	$55.10