Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.44 / $155.27 / $173.77	Facility		$153.44	$155.27	$173.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.33 / $156.03 / $247.18	Professional		$146.33	$156.03	$247.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.56 / $149.56 / $149.56	Professional		$149.56	$149.56	$149.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.43 / $124.12 / $182.68	Professional		$104.43	$124.12	$182.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.03 / $199.87 / $235.14	Facility		$145.03	$199.87	$235.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $160.03 / $205.74 / $293.92	Professional		$160.03	$205.74	$293.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.18 / $257.18 / $257.18	Facility		$257.18	$257.18	$257.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.37 / $210.78 / $334.18	Professional		$128.37	$210.78	$334.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $95.66 / $132.65	Professional		$32.34	$95.66	$132.65
United Facility/Professional Professional Modifier Low / Median / High Price $147.61 / $190.72 / $321.38	Professional		$147.61	$190.72	$321.38