Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.64 / $64.52 / $108.35	Facility		$54.64	$64.52	$108.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.64 / $70.76 / $109.95	Professional		$54.64	$70.76	$109.95
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $61.11 / $83.14 / $147.00	Professional	25	$61.11	$83.14	$147.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $75.73 / $110.69	Professional		$64.38	$75.73	$110.69
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $69.18 / $90.90 / $107.23	Professional	25	$69.18	$90.90	$107.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $73.76 / $106.41	Professional		$57.42	$73.76	$106.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $86.48 / $103.77	Facility		$69.18	$86.48	$103.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $90.89 / $113.61	Professional		$75.73	$90.89	$113.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.27 / $100.27 / $100.27	Facility		$100.27	$100.27	$100.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $93.53 / $131.94	Professional		$71.65	$93.53	$131.94
United Facility/Professional Professional Modifier Low / Median / High Price $70.34 / $88.65 / $125.40	Professional		$70.34	$88.65	$125.40
United Facility/Professional Professional Modifier 25 Low / Median / High Price $99.10 / $99.10 / $99.10	Professional	25	$99.10	$99.10	$99.10