Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.55 / $902.56 / $2,211.29	Facility		$135.55	$902.56	$2,211.29
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $532.00 / $815.10 / $1,956.71	Facility	25	$532.00	$815.10	$1,956.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $120.71 / $181.42	Professional		$89.37	$120.71	$181.42
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $111.54 / $162.75 / $421.11	Professional	25	$111.54	$162.75	$421.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.39 / $152.54 / $411.61	Professional		$127.39	$152.54	$411.61
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $127.39 / $152.54 / $259.89	Professional	25	$127.39	$152.54	$259.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.04 / $148.93 / $148.93	Professional		$134.04	$148.93	$148.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $115.12 / $149.66 / $336.90	Facility		$115.12	$149.66	$336.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.69 / $143.22 / $159.84	Professional		$115.69	$143.22	$159.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.84 / $132.79 / $183.61	Professional		$104.84	$132.79	$183.61
Qualchoice Facility/Professional Professional Modifier Low / Median / High Price $146.50 / $170.64 / $254.58	Professional		$146.50	$170.64	$254.58
Qualchoice Facility/Professional Professional Modifier 25 Low / Median / High Price $146.50 / $172.34 / $480.02	Professional	25	$146.50	$172.34	$480.02
United Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $118.61 / $168.19	Professional		$101.24	$118.61	$168.19