Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.17 / $190.96 / $371.54	Facility		$36.17	$190.96	$371.54
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $179.83 / $456.18 / $940.64	Facility	25	$179.83	$456.18	$940.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.46 / $39.35 / $86.68	Professional		$27.46	$39.35	$86.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $39.28 / $114.66	Professional		$38.22	$39.28	$114.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.00 / $647.00 / $809.00	Facility		$253.00	$647.00	$809.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $36.04 / $67.00	Professional		$26.52	$36.04	$67.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.28 / $47.76 / $62.85	Facility		$39.28	$47.76	$62.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.28 / $49.10 / $64.81	Professional		$39.28	$49.10	$64.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.16 / $48.16 / $48.16	Facility		$48.16	$48.16	$48.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $49.82 / $83.07	Professional		$34.86	$49.82	$83.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $32.34 / $51.06	Professional		$24.71	$32.34	$51.06
United Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $43.32 / $72.19	Professional		$34.25	$43.32	$72.19