Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.47 / $103.17 / $1,185.28	Facility		$92.47	$103.17	$1,185.28
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $649.20 / $2,256.80 / $2,256.80	Facility	25	$649.20	$2,256.80	$2,256.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $105.18 / $300.27	Professional		$84.15	$105.18	$300.27
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $101.40 / $327.90 / $815.32	Professional	25	$101.40	$327.90	$815.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.06 / $134.38 / $287.77	Professional		$117.06	$134.38	$287.77
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $99.74 / $136.57 / $156.08	Professional	25	$99.74	$136.57	$156.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.42 / $157.08 / $243.93	Professional		$96.42	$157.08	$243.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.12 / $121.21 / $146.44	Facility		$95.12	$121.21	$146.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.18 / $131.02 / $163.77	Professional		$109.18	$131.02	$163.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $143.15 / $143.15 / $143.15	Facility		$143.15	$143.15	$143.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.47 / $126.21 / $216.40	Professional		$100.47	$126.21	$216.40
United Facility/Professional Professional Modifier Low / Median / High Price $102.42 / $124.79 / $175.11	Professional		$102.42	$124.79	$175.11
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $144.66	Professional	25	$80.00	$80.00	$144.66