Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.50 / $154.34 / $287.39	Facility		$118.50	$154.34	$287.39
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $210.85 / $210.85 / $226.43	Facility	25	$210.85	$210.85	$226.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.34 / $222.30 / $413.83	Professional		$154.34	$222.30	$413.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $257.00 / $470.31 / $663.39	Professional	25	$257.00	$470.31	$663.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.78 / $273.25 / $322.56	Professional		$155.78	$273.25	$322.56
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $221.08 / $286.91 / $507.32	Professional	25	$221.08	$286.91	$507.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.94 / $253.64 / $410.92	Professional		$173.94	$253.64	$410.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $133.55 / $192.43 / $293.23	Facility		$133.55	$192.43	$293.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $257.00 / $257.69 / $407.20	Professional		$257.00	$257.69	$407.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.82 / $266.30 / $429.50	Professional		$178.82	$266.30	$429.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.27 / $273.25 / $602.07	Professional		$183.27	$273.25	$602.07
United Facility/Professional Professional Modifier Low / Median / High Price $215.46 / $294.08 / $554.64	Professional		$215.46	$294.08	$554.64