Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $57.54 / $104.71	Facility		$39.81	$57.54	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $100.00	Professional		$44.67	$63.10	$100.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.45 / $14.45 / $69.18	Professional	25	$14.45	$14.45	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $75.86	Professional		$57.54	$66.07	$75.86
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $63.10 / $64.57 / $69.18	Professional	25	$63.10	$64.57	$69.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $64.57 / $125.89	Facility		$64.57	$64.57	$125.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $64.57 / $128.82	Professional		$54.95	$64.57	$128.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $75.86 / $95.50	Facility		$66.07	$75.86	$95.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $77.62 / $112.20	Professional		$67.61	$77.62	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $69.18 / $81.28	Facility		$60.26	$69.18	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $66.07 / $177.83	Professional		$56.23	$66.07	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $97.72	Professional		$56.23	$67.61	$97.72