Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.59 / $51.83 / $83.64	Facility		$51.59	$51.83	$83.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.83 / $61.59 / $85.30	Professional		$51.83	$61.59	$85.30
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $215.25 / $215.25 / $215.25	Professional	25	$215.25	$215.25	$215.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.59 / $83.31 / $83.31	Professional		$70.59	$83.31	$83.31
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $86.10 / $86.10 / $86.10	Professional	25	$86.10	$86.10	$86.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.06 / $67.29 / $94.49	Professional		$50.06	$67.29	$94.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.43 / $72.73 / $81.68	Facility		$69.43	$72.73	$81.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $61.09 / $76.44	Professional		$61.09	$61.09	$76.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.80 / $94.80 / $94.80	Facility		$94.80	$94.80	$94.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.19 / $85.76 / $115.77	Professional		$67.19	$85.76	$115.77
United Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $77.81 / $105.14	Professional		$63.20	$77.81	$105.14
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07