Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.64 / $102.26 / $766.66	Facility		$48.64	$102.26	$766.66
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $349.02 / $405.89 / $986.35	Facility	25	$349.02	$405.89	$986.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.17 / $66.00 / $174.14	Professional		$47.17	$66.00	$174.14
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $62.89 / $149.41 / $489.60	Professional	25	$62.89	$149.41	$489.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $84.27 / $221.86	Professional		$66.41	$84.27	$221.86
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $66.41 / $86.33 / $229.72	Professional	25	$66.41	$86.33	$229.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $435.00 / $2,250.00 / $2,812.00	Facility		$435.00	$2,250.00	$2,812.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.39 / $70.38 / $144.50	Professional		$55.39	$70.38	$144.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.41 / $80.88 / $106.26	Facility		$66.41	$80.88	$106.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $83.01 / $109.58	Professional		$66.41	$83.01	$109.58
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 $59.71 / $80.73 / $134.38	Professional		$59.71	$80.73	$134.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $86.33	Professional		$32.34	$32.34	$86.33
United Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $70.20 / $112.32	Professional		$54.68	$70.20	$112.32