Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.17 / $71.03 / $112.94	Facility		$65.17	$71.03	$112.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.68 / $71.03 / $127.69	Professional		$45.68	$71.03	$127.69
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.48 / $88.51 / $297.69	Professional	25	$14.48	$88.51	$297.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $81.18 / $90.52	Professional		$69.18	$81.18	$90.52
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $64.48 / $82.86 / $97.48	Professional	25	$64.48	$82.86	$97.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.46 / $66.66 / $101.39	Professional		$53.46	$66.66	$101.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.63 / $89.93 / $111.41	Facility		$69.63	$89.93	$111.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.87 / $94.68 / $116.84	Professional		$75.87	$94.68	$116.84
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 $70.58 / $92.92 / $162.18	Professional		$70.58	$92.92	$162.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $98.63	Professional		$32.34	$32.34	$98.63
United Facility/Professional Professional Modifier Low / Median / High Price $70.81 / $91.33 / $138.16	Professional		$70.81	$91.33	$138.16
United Facility/Professional Professional Modifier 25 Low / Median / High Price $99.10 / $99.10 / $99.10	Professional	25	$99.10	$99.10	$99.10