Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.10 / $146.63 / $3,426.70	Facility		$93.10	$146.63	$3,426.70
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $13,213.08 / $13,213.08 / $13,213.08	Facility	25	$13,213.08	$13,213.08	$13,213.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.98 / $105.18 / $327.90	Professional		$85.98	$105.18	$327.90
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $109.37 / $408.40 / $1,255.60	Professional	25	$109.37	$408.40	$1,255.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $129.22 / $146.33	Professional		$99.41	$129.22	$146.33
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $105.62 / $124.26 / $204.42	Professional	25	$105.62	$124.26	$204.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.07 / $112.30 / $171.41	Professional		$88.07	$112.30	$171.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.41 / $122.53 / $159.06	Facility		$99.41	$122.53	$159.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.35 / $136.47 / $176.75	Professional		$109.35	$136.47	$176.75
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 $101.66 / $133.63 / $223.10	Professional		$101.66	$133.63	$223.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $143.61	Professional		$32.34	$32.34	$143.61
United Facility/Professional Professional Modifier Low / Median / High Price $104.54 / $129.72 / $203.95	Professional		$104.54	$129.72	$203.95
United Facility/Professional Professional Modifier 25 Low / Median / High Price $80.00 / $80.00 / $90.00	Professional	25	$80.00	$80.00	$90.00