Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.83 / $152.02 / $3,458.78	Facility		$113.83	$152.02	$3,458.78
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $745.05 / $2,429.98 / $3,597.05	Facility	25	$745.05	$2,429.98	$3,597.05
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $159.69 / $207.30 / $870.75	Professional	25	$159.69	$207.30	$870.75
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $175.66 / $205.63 / $471.09	Professional	25	$175.66	$205.63	$471.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,004.00 / $2,004.00 / $2,505.00	Facility		$2,004.00	$2,004.00	$2,505.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $155.69 / $191.63 / $239.54	Facility		$155.69	$191.63	$239.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.43 / $202.43 / $202.43	Facility		$202.43	$202.43	$202.43