Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.28 / $77.75 / $191.00	Facility		$45.28	$77.75	$191.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $148.81 / $228.80	Professional		$104.86	$148.81	$228.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $122.44 / $140.00	Professional		$72.00	$122.44	$140.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.66 / $71.09 / $117.66	Professional		$58.66	$71.09	$117.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.17 / $98.26 / $159.08	Facility		$39.17	$98.26	$159.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.69 / $89.56 / $154.34	Professional		$39.69	$89.56	$154.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $87.62 / $140.24 / $161.37	Facility		$87.62	$140.24	$161.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.50 / $194.89 / $339.36	Professional		$118.50	$194.89	$339.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $67.59	Professional		$45.00	$45.00	$67.59
United Facility/Professional Professional Modifier Low / Median / High Price $118.50 / $157.80 / $208.75	Professional		$118.50	$157.80	$208.75