Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.59 / $61.86 / $106.95	Facility		$61.59	$61.86	$106.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.33 / $61.86 / $97.42	Professional		$54.33	$61.86	$97.42
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $183.48 / $209.60 / $245.55	Professional	25	$183.48	$209.60	$245.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.34 / $78.34 / $78.34	Professional		$78.34	$78.34	$78.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $59.09 / $87.53	Professional		$44.17	$59.09	$87.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.01 / $89.54 / $106.32	Facility		$65.01	$89.54	$106.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.83 / $92.16 / $108.62	Professional		$65.83	$92.16	$108.62
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 $63.65 / $81.95 / $146.69	Professional		$63.65	$81.95	$146.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $72.72	Professional		$32.34	$32.34	$72.72
United Facility/Professional Professional Modifier Low / Median / High Price $61.77 / $80.30 / $121.81	Professional		$61.77	$80.30	$121.81
United Facility/Professional Professional Modifier 25 Low / Median / High Price $94.07 / $94.07 / $94.07	Professional	25	$94.07	$94.07	$94.07