Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $218.78 / $1,862.09	Facility		$131.83	$218.78	$1,862.09
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $741.31 / $1,819.70 / $3,548.13	Facility	25	$741.31	$1,819.70	$3,548.13
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $141.25 / $323.59 / $977.24	Professional	25	$141.25	$323.59	$977.24
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $158.49 / $204.17 / $275.42	Professional	25	$158.49	$204.17	$275.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $2,884.03	Facility		$1,412.54	$1,412.54	$2,884.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $199.53 / $288.40	Facility		$165.96	$199.53	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15