Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $371.54 / $2,630.27	Facility		$186.21	$371.54	$2,630.27
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $831.76 / $2,691.53 / $4,265.80	Facility	25	$831.76	$2,691.53	$4,265.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $275.42 / $776.25	Professional		$177.83	$275.42	$776.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $190.55 / $363.08 / $1,148.15	Professional	25	$190.55	$363.08	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $229.09 / $288.40	Professional		$177.83	$229.09	$288.40
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $194.98 / $251.19 / $316.23	Professional	25	$194.98	$251.19	$316.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $338.84	Professional		$181.97	$223.87	$338.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $251.19 / $338.84	Facility		$199.53	$251.19	$338.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $302.00 / $398.11	Professional		$234.42	$302.00	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $331.13 / $331.13	Facility		$229.09	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $1,288.25	Professional		$208.93	$302.00	$1,288.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $223.87	Professional		$32.36	$33.11	$223.87
United Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $407.38	Professional		$199.53	$257.04	$407.38