Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.36 / $228.86 / $1,962.00	Facility		$184.36	$228.86	$1,962.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $2,426.19 / $3,783.89 / $4,457.38	Facility	25	$2,426.19	$3,783.89	$4,457.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.14 / $221.25 / $446.25	Professional		$166.14	$221.25	$446.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $189.83 / $289.17 / $1,165.52	Professional	25	$189.83	$289.17	$1,165.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $194.81 / $272.74 / $574.69	Professional		$194.81	$272.74	$574.69
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $202.13 / $248.38 / $326.41	Professional	25	$202.13	$248.38	$326.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $199.91 / $337.34 / $512.24	Professional		$199.91	$337.34	$512.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $189.94 / $242.53 / $293.08	Facility		$189.94	$242.53	$293.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $249.98 / $299.98 / $374.97	Professional		$249.98	$299.98	$374.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $286.33 / $286.33 / $286.33	Facility		$286.33	$286.33	$286.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.07 / $271.95 / $467.90	Professional		$204.07	$271.95	$467.90
United Facility/Professional Professional Modifier Low / Median / High Price $227.80 / $283.93 / $408.57	Professional		$227.80	$283.93	$408.57