Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.22 / $153.30 / $153.30	Facility		$139.22	$153.30	$153.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.37 / $157.52 / $267.66	Professional		$136.37	$157.52	$267.66
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $256.83 / $260.77 / $260.77	Professional	25	$256.83	$260.77	$260.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $167.12 / $202.46	Professional		$152.22	$167.12	$202.46
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $142.53 / $156.18 / $156.18	Professional	25	$142.53	$156.18	$156.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.47 / $137.81 / $163.66	Professional		$114.47	$137.81	$163.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.24 / $190.43 / $241.98	Facility		$151.24	$190.43	$241.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.24 / $189.05 / $232.91	Professional		$151.24	$189.05	$232.91
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 / $217.02	Professional		$147.60	$147.60	$217.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $196.61	Professional		$32.34	$32.34	$196.61
United Facility/Professional Professional Modifier Low / Median / High Price $142.65 / $194.28 / $283.64	Professional		$142.65	$194.28	$283.64