Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $67.61 / $380.19	Facility		$66.07	$67.61	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $72.44 / $128.82	Professional		$63.10	$72.44	$128.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $53.70	Professional		$52.48	$52.48	$53.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $79.43 / $151.36	Professional		$75.86	$79.43	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $89.13 / $114.82	Facility		$64.57	$89.13	$114.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $107.15	Professional		$64.57	$89.13	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $123.03 / $338.84	Professional		$69.18	$123.03	$338.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $74.13	Professional		$32.36	$33.11	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $114.82	Professional		$63.10	$75.86	$114.82