Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.82 / $176.87 / $368.47	Facility		$50.82	$176.87	$368.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $52.70 / $61.98	Professional		$50.11	$52.70	$61.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.40 / $12.40 / $77.48	Professional		$12.40	$12.40	$77.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.58 / $55.78 / $65.14	Facility		$38.58	$55.78	$65.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.61 / $30.61 / $76.06	Professional		$30.61	$30.61	$76.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $61.98 / $74.38 / $87.15	Facility		$61.98	$74.38	$87.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $75.00 / $123.96	Professional		$61.98	$75.00	$123.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.29 / $47.30 / $147.72	Facility		$40.29	$47.30	$147.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $71.45 / $298.74	Professional		$31.54	$71.45	$298.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $34.09 / $34.09	Professional		$34.09	$34.09	$34.09
United Facility/Professional Professional Modifier Low / Median / High Price $27.30 / $51.95 / $86.59	Professional		$27.30	$51.95	$86.59