Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.40 / $304.02 / $1,913.65	Facility		$185.40	$304.02	$1,913.65
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $825.00 / $3,312.41 / $4,230.67	Facility	25	$825.00	$3,312.41	$4,230.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.31 / $233.85 / $598.98	Professional		$174.31	$233.85	$598.98
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $189.83 / $363.95 / $1,192.04	Professional	25	$189.83	$363.95	$1,192.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.84 / $248.55 / $366.83	Professional		$198.84	$248.55	$366.83
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $198.84 / $258.49 / $582.34	Professional	25	$198.84	$258.49	$582.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $222.70 / $360.49	Professional		$183.00	$222.70	$360.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $198.84 / $245.06 / $318.14	Facility		$198.84	$245.06	$318.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $245.67 / $289.02 / $397.68	Professional		$245.67	$289.02	$397.68
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 $203.14 / $286.97 / $488.60	Professional		$203.14	$286.97	$488.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $326.72	Professional		$32.34	$32.34	$326.72
United Facility/Professional Professional Modifier Low / Median / High Price $235.62 / $290.36 / $472.28	Professional		$235.62	$290.36	$472.28