Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.29 / $76.50 / $90.65	Facility		$67.29	$76.50	$90.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $91.93 / $142.22	Professional		$70.89	$91.93	$142.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.47 / $72.79 / $110.92	Professional		$68.47	$72.79	$110.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.94 / $126.00 / $126.00	Facility		$65.94	$126.00	$126.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.90 / $73.40 / $133.31	Professional		$61.90	$73.40	$133.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.58 / $96.77 / $135.47	Facility		$72.58	$96.77	$135.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.06 / $106.77 / $140.74	Professional		$80.06	$106.77	$140.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $169.35 / $169.35 / $169.35	Facility		$169.35	$169.35	$169.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $92.69 / $165.25	Professional		$61.00	$92.69	$165.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $37.85 / $75.73	Professional		$32.34	$37.85	$75.73
United Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $103.58 / $205.14	Professional		$79.76	$103.58	$205.14