Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.25 / $146.53 / $214.82	Facility		$101.25	$146.53	$214.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $153.78 / $250.38	Professional		$101.25	$153.78	$250.38
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $190.11 / $237.14 / $372.00	Professional	25	$190.11	$237.14	$372.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.59 / $214.92 / $226.23	Professional		$161.59	$214.92	$226.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $128.38 / $136.94 / $264.31	Facility		$128.38	$136.94	$264.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.56 / $142.58 / $199.61	Professional		$109.56	$142.58	$199.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.29 / $115.55 / $160.47	Facility		$96.29	$115.55	$160.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $161.59 / $199.62 / $237.64	Professional		$161.59	$199.62	$237.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.10 / $180.77 / $272.81	Professional		$138.10	$180.77	$272.81
United Facility/Professional Professional Modifier Low / Median / High Price $140.77 / $178.29 / $256.12	Professional		$140.77	$178.29	$256.12