Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.05 / $214.42 / $2,658.43	Facility		$131.05	$214.42	$2,658.43
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $769.51 / $2,819.96 / $6,951.98	Facility	25	$769.51	$2,819.96	$6,951.98
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $139.83 / $232.26 / $995.52	Professional	25	$139.83	$232.26	$995.52
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $164.50 / $205.63 / $304.17	Professional	25	$164.50	$205.63	$304.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $2,250.00 / $2,812.00	Facility		$1,426.00	$2,250.00	$2,812.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $164.50 / $202.75 / $263.20	Facility		$164.50	$202.75	$263.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $202.43 / $202.43 / $202.43	Facility		$202.43	$202.43	$202.43