Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $21.62 / $96.82	Facility		$20.32	$21.62	$96.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $24.13 / $37.58	Professional		$20.39	$24.13	$37.58
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $35.00 / $37.29 / $37.29	Professional	25	$35.00	$37.29	$37.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.05 / $27.67 / $40.24	Professional		$25.05	$27.67	$40.24
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $24.99 / $33.45 / $33.45	Professional	25	$24.99	$33.45	$33.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.34 / $18.34 / $29.34	Facility		$18.34	$18.34	$29.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.31 / $30.49 / $44.41	Professional		$23.31	$30.49	$44.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.59 / $27.32 / $34.15	Facility		$21.59	$27.32	$34.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $30.18 / $37.72	Professional		$25.15	$30.18	$37.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.15 / $33.15 / $33.15	Facility		$33.15	$33.15	$33.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.83 / $28.81 / $43.75	Professional		$22.83	$28.81	$43.75
United Facility/Professional Professional Modifier Low / Median / High Price $24.14 / $28.10 / $39.35	Professional		$24.14	$28.10	$39.35