Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.54 / $124.96 / $158.00	Facility		$123.54	$124.96	$158.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.78 / $136.07 / $202.27	Professional		$106.78	$136.07	$202.27
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $170.76 / $170.76 / $170.76	Professional	25	$170.76	$170.76	$170.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.05 / $181.50 / $228.78	Professional		$162.05	$181.50	$228.78
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $158.88 / $158.88 / $158.88	Professional	25	$158.88	$158.88	$158.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.59 / $129.81 / $208.49	Professional		$99.59	$129.81	$208.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.34 / $156.40 / $208.64	Facility		$104.34	$156.40	$208.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.52 / $174.25 / $228.78	Professional		$152.52	$174.25	$228.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $174.07 / $174.07	Facility		$174.07	$174.07	$174.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.90 / $147.90 / $242.22	Professional		$147.90	$147.90	$242.22
United Facility/Professional Professional Modifier Low / Median / High Price $101.48 / $158.21 / $222.02	Professional		$101.48	$158.21	$222.02