Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $181.97 / $257.04	Facility		$30.20	$181.97	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $31.62 / $36.31	Professional		$26.92	$31.62	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $89.13	Professional		$77.62	$77.62	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $36.31 / $38.02	Facility		$30.90	$36.31	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $18.20 / $50.12	Professional		$18.20	$18.20	$50.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $43.65 / $51.29	Facility		$36.31	$43.65	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $45.71 / $72.44	Professional		$36.31	$45.71	$72.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $66.07 / $66.07	Facility		$23.99	$66.07	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $245.47 / $245.47	Professional		$21.88	$245.47	$245.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $30.90 / $51.29	Professional		$15.49	$30.90	$51.29