Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $1,000.00 / $2,951.21	Facility		$100.00	$1,000.00	$2,951.21
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $741.31 / $1,659.59 / $3,388.44	Facility	25	$741.31	$1,659.59	$3,388.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $691.83	Professional		$85.11	$120.23	$691.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $97.72 / $229.09 / $758.58	Professional	25	$97.72	$229.09	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $177.83	Professional		$107.15	$128.82	$177.83
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $102.33 / $128.82 / $323.59	Professional	25	$102.33	$128.82	$323.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $3,162.28 / $3,630.78	Facility		$1,584.89	$3,162.28	$3,630.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $199.53 / $302.00	Professional		$87.10	$199.53	$302.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $138.04 / $169.82	Facility		$114.82	$138.04	$169.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $134.90 / $177.83	Professional		$114.82	$134.90	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $186.21	Facility		$186.21	$186.21	$186.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $134.90 / $245.47	Professional		$102.33	$134.90	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $123.03 / $173.78	Professional		$97.72	$123.03	$173.78