Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $891.25 / $1,288.25	Facility		$61.66	$891.25	$1,288.25
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $524.81 / $977.24 / $1,659.59	Facility	25	$524.81	$977.24	$1,659.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $69.18 / $446.68	Professional		$51.29	$69.18	$446.68
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $63.10 / $134.90 / $512.86	Professional	25	$63.10	$134.90	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $169.82	Professional		$64.57	$75.86	$169.82
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $64.57 / $81.28 / $97.72	Professional	25	$64.57	$81.28	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $3,019.95 / $3,630.78	Facility		$954.99	$3,019.95	$3,630.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $120.23 / $302.00	Professional		$56.23	$120.23	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $79.43 / $100.00	Facility		$66.07	$79.43	$100.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $104.71	Professional		$66.07	$79.43	$104.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $81.28 / $144.54	Professional		$58.88	$81.28	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $66.07 / $97.72	Professional		$54.95	$66.07	$97.72