Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $512.86 / $645.65	Facility		$38.90	$512.86	$645.65
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $426.58 / $549.54 / $645.65	Facility	25	$426.58	$549.54	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $50.12 / $275.42	Professional		$28.84	$50.12	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $45.71 / $97.72	Professional		$37.15	$45.71	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $3,019.95 / $3,630.78	Facility		$549.54	$3,019.95	$3,630.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $64.57 / $91.20	Professional		$26.30	$64.57	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $47.86 / $58.88	Facility		$39.81	$47.86	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $46.77 / $61.66	Professional		$39.81	$46.77	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $46.77 / $81.28	Facility		$33.11	$46.77	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $46.77 / $93.33	Professional		$30.90	$46.77	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $42.66 / $61.66	Professional		$33.88	$42.66	$61.66