Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.51 / $890.85 / $2,853.98	Facility		$78.51	$890.85	$2,853.98
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $736.42 / $1,302.71 / $3,396.29	Facility	25	$736.42	$1,302.71	$3,396.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.16 / $100.81 / $181.25	Professional		$74.16	$100.81	$181.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $90.05 / $143.38 / $696.32	Professional	25	$90.05	$143.38	$696.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.18 / $154.25 / $325.02	Professional		$110.18	$154.25	$325.02
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $119.72 / $154.25 / $330.54	Professional	25	$119.72	$154.25	$330.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,586.00 / $1,586.00 / $1,982.00	Facility		$1,586.00	$1,586.00	$1,982.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $199.04 / $300.00	Professional		$102.60	$199.04	$300.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.42 / $132.22 / $165.27	Facility		$107.42	$132.22	$165.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.18 / $132.22 / $165.27	Professional		$110.18	$132.22	$165.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.63 / $139.63 / $139.63	Facility		$139.63	$139.63	$139.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $138.97 / $239.32	Professional		$102.86	$138.97	$239.32
United Facility/Professional Professional Modifier Low / Median / High Price $99.16 / $121.98 / $175.71	Professional		$99.16	$121.98	$175.71