Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.42 / $153.59 / $219.68	Facility		$115.42	$153.59	$219.68
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $115.42 / $115.42 / $115.42	Facility	25	$115.42	$115.42	$115.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $139.47 / $219.68	Professional		$109.12	$139.47	$219.68
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $261.39 / $261.39 / $270.52	Professional	25	$261.39	$261.39	$270.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.81 / $158.52 / $191.67	Professional		$137.81	$158.52	$191.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.73 / $114.97 / $159.05	Professional		$85.73	$114.97	$159.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $139.01 / $169.23 / $169.23	Facility		$139.01	$169.23	$169.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $148.11 / $212.13 / $340.92	Professional		$148.11	$212.13	$340.92
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 $102.87 / $147.90 / $229.99	Professional		$102.87	$147.90	$229.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $196.98	Professional		$32.34	$32.34	$196.98
United Facility/Professional Professional Modifier Low / Median / High Price $102.88 / $158.11 / $260.88	Professional		$102.88	$158.11	$260.88