Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.34 / $154.61 / $192.68	Facility		$122.34	$154.61	$192.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.17 / $162.06 / $258.54	Professional		$124.17	$162.06	$258.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $94.85 / $94.85 / $94.85	Professional	25	$94.85	$94.85	$94.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.10 / $181.51 / $236.02	Professional		$133.10	$181.51	$236.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $180.83	Facility		$120.00	$120.00	$180.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $117.01 / $199.64	Professional		$86.06	$117.01	$199.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $120.21 / $160.28 / $224.39	Facility		$120.21	$160.28	$224.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.78 / $199.66 / $257.45	Professional		$149.78	$199.66	$257.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $280.49 / $280.49 / $280.49	Facility		$280.49	$280.49	$280.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $158.00 / $283.12	Professional		$65.00	$158.00	$283.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $105.30 / $152.00	Professional		$32.34	$105.30	$152.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.13 / $166.76 / $315.56	Professional		$121.13	$166.76	$315.56