Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.97 / $198.50 / $291.07	Facility		$137.97	$198.50	$291.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.44 / $214.88 / $329.10	Professional		$143.44	$214.88	$329.10
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $434.32 / $504.00 / $504.00	Professional	25	$434.32	$504.00	$504.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $169.60 / $218.94 / $306.52	Professional		$169.60	$218.94	$306.52
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $185.00 / $185.00 / $291.20	Professional	25	$185.00	$185.00	$291.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $174.37 / $185.79 / $358.57	Facility		$174.37	$185.79	$358.57
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.03 / $198.35 / $278.68	Professional		$157.03	$198.35	$278.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.78 / $156.93 / $217.96	Facility		$130.78	$156.93	$217.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $218.94 / $270.45 / $321.98	Professional		$218.94	$270.45	$321.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.84 / $251.66 / $369.82	Professional		$192.84	$251.66	$369.82
United Facility/Professional Professional Modifier Low / Median / High Price $197.49 / $247.94 / $338.05	Professional		$197.49	$247.94	$338.05