Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $380.19 / $2,238.72	Facility		$190.55	$380.19	$2,238.72
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $977.24 / $3,467.37 / $4,265.80	Facility	25	$977.24	$3,467.37	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $912.01	Professional		$169.82	$257.04	$912.01
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $190.55 / $363.08 / $1,318.26	Professional	25	$190.55	$363.08	$1,318.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $346.74	Professional		$177.83	$218.78	$346.74
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $194.98 / $223.87 / $354.81	Professional	25	$194.98	$223.87	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,370.32 / $6,606.93 / $8,128.31	Facility		$5,370.32	$6,606.93	$8,128.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $524.81	Professional		$190.55	$331.13	$524.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $251.19 / $316.23	Facility		$199.53	$251.19	$316.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $398.11	Professional		$257.04	$309.03	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $269.15 / $398.11	Facility		$223.87	$269.15	$398.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $501.19	Professional		$204.17	$281.84	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $169.82 / $218.78	Facility		$169.82	$169.82	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $371.54	Professional		$199.53	$257.04	$371.54