Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.06 / $83.64 / $102.62	Facility		$72.06	$83.64	$102.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.51 / $78.95 / $102.62	Professional		$66.51	$78.95	$102.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $58.79 / $58.79	Professional		$58.79	$58.79	$58.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.00 / $120.00 / $120.00	Facility		$120.00	$120.00	$120.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $69.91 / $109.73	Professional		$51.14	$69.91	$109.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.02 / $76.69 / $95.03	Facility		$55.02	$76.69	$95.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $82.84 / $102.56	Professional		$65.08	$82.84	$102.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.71 / $116.71 / $116.71	Facility		$116.71	$116.71	$116.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.00 / $84.00 / $161.16	Professional		$38.00	$84.00	$161.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.15 / $53.05 / $66.31	Professional		$33.15	$53.05	$66.31
United Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $98.92 / $175.26	Professional		$72.18	$98.92	$175.26