Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.46 / $882.23 / $1,192.73	Facility		$46.46	$882.23	$1,192.73
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $714.21 / $1,040.01 / $2,853.98	Facility	25	$714.21	$1,040.01	$2,853.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $63.06 / $113.55	Professional		$43.88	$63.06	$113.55
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $62.47 / $96.56 / $498.44	Professional	25	$62.47	$96.56	$498.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $97.05 / $190.87	Professional		$64.70	$97.05	$190.87
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $71.17 / $86.05 / $190.87	Professional	25	$71.17	$86.05	$190.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $950.00 / $950.00 / $1,188.00	Facility		$950.00	$950.00	$1,188.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.17 / $117.45 / $300.00	Professional		$65.17	$117.45	$300.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.08 / $77.64 / $97.05	Facility		$63.08	$77.64	$97.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $77.64 / $97.05	Professional		$64.70	$77.64	$97.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.02 / $82.02 / $82.02	Facility		$82.02	$82.02	$82.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.91 / $81.59 / $137.05	Professional		$61.91	$81.59	$137.05
United Facility/Professional Professional Modifier Low / Median / High Price $55.69 / $67.98 / $96.13	Professional		$55.69	$67.98	$96.13