Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $100.00 / $831.76	Facility		$53.70	$100.00	$831.76
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $346.74 / $501.19 / $977.24	Facility	25	$346.74	$501.19	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $70.79 / $316.23	Professional		$51.29	$70.79	$316.23
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $63.10 / $144.54 / $478.63	Professional	25	$63.10	$144.54	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $112.20	Professional		$64.57	$79.43	$112.20
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $63.10 / $81.28 / $114.82	Professional	25	$63.10	$81.28	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $436.52 / $2,884.03	Facility		$436.52	$436.52	$2,884.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $69.18 / $151.36	Professional		$54.95	$69.18	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $81.28 / $117.49	Facility		$66.07	$81.28	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $109.65	Professional		$66.07	$79.43	$109.65
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 $60.26 / $87.10 / $331.13	Professional		$60.26	$87.10	$331.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $47.86	Professional		$32.36	$33.11	$47.86
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $67.61 / $117.49	Professional		$53.70	$67.61	$117.49