Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.71 / $172.10 / $209.15	Facility		$120.71	$172.10	$209.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.77 / $156.29 / $256.86	Professional		$108.77	$156.29	$256.86
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $50.18 / $194.88 / $601.00	Professional	25	$50.18	$194.88	$601.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.05 / $190.11 / $262.79	Professional		$137.05	$190.11	$262.79
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $207.42 / $207.42 / $262.79	Professional	25	$207.42	$207.42	$262.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.13 / $130.44 / $193.40	Professional		$107.13	$130.44	$193.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.74 / $127.69 / $180.59	Facility		$96.74	$127.69	$180.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.34 / $187.71 / $262.79	Professional		$148.34	$187.71	$262.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.75 / $185.75 / $185.75	Facility		$185.75	$185.75	$185.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.49 / $175.93 / $298.64	Professional		$118.49	$175.93	$298.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $167.42	Professional		$32.34	$32.34	$167.42
United Facility/Professional Professional Modifier Low / Median / High Price $140.77 / $187.67 / $283.23	Professional		$140.77	$187.67	$283.23