Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $75.86 / $177.83	Facility		$74.13	$75.86	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $158.49	Professional		$70.79	$75.86	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $70.79 / $85.11	Professional		$50.12	$70.79	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $112.20 / $165.96	Facility		$87.10	$112.20	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $134.90	Professional		$64.57	$70.79	$134.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $125.89	Facility		$70.79	$70.79	$125.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $77.62	Professional		$70.79	$70.79	$77.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $213.80	Professional		$81.28	$81.28	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $141.25 / $141.25	Facility		$114.82	$141.25	$141.25
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $81.28 / $89.13	Professional		$72.44	$81.28	$89.13