Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.76 / $156.76 / $162.69	Facility		$156.76	$156.76	$162.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.37 / $161.04 / $267.66	Professional		$136.37	$161.04	$267.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $168.77 / $182.00 / $182.00	Professional	25	$168.77	$182.00	$182.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.38 / $152.22 / $202.46	Professional		$129.38	$152.22	$202.46
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $132.76 / $156.18 / $163.95	Professional	25	$132.76	$156.18	$163.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.24 / $159.05 / $234.14	Professional		$127.24	$159.05	$234.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $152.22 / $190.28 / $228.33	Facility		$152.22	$190.28	$228.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $182.66 / $228.33	Professional		$152.22	$182.66	$228.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $187.13 / $187.13 / $187.13	Facility		$187.13	$187.13	$187.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.60 / $147.60 / $229.42	Professional		$147.60	$147.60	$229.42
United Facility/Professional Professional Modifier Low / Median / High Price $142.47 / $178.26 / $254.90	Professional		$142.47	$178.26	$254.90