Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.56 / $308.95 / $358.56	Facility		$122.56	$308.95	$358.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.87 / $122.56 / $200.00	Professional		$91.87	$122.56	$200.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $106.50 / $113.40 / $202.87	Professional	25	$106.50	$113.40	$202.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.62 / $152.52 / $179.43	Professional		$119.62	$152.52	$179.43
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $122.89 / $129.24 / $145.74	Professional	25	$122.89	$129.24	$145.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $124.28 / $195.61	Professional		$95.71	$124.28	$195.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.62 / $149.53 / $179.43	Facility		$119.62	$149.53	$179.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $119.62 / $143.54 / $179.43	Professional		$119.62	$143.54	$179.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $146.59 / $146.59 / $146.59	Facility		$146.59	$146.59	$146.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.36 / $116.36 / $191.66	Professional		$116.36	$116.36	$191.66
United Facility/Professional Professional Modifier Low / Median / High Price $99.70 / $123.75 / $167.72	Professional		$99.70	$123.75	$167.72