Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $204.17 / $229.09	Facility		$190.55	$204.17	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $295.12	Professional		$186.21	$208.93	$295.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $213.80 / $239.88	Professional		$190.55	$213.80	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $162.18 / $208.93	Professional		$138.04	$162.18	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $213.80 / $302.00	Facility		$186.21	$213.80	$302.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $302.00	Professional		$158.49	$223.87	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $331.13	Facility		$331.13	$331.13	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $309.03 / $977.24	Professional		$194.98	$309.03	$977.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $169.82	Professional		$32.36	$33.11	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $234.42 / $407.38	Professional		$190.55	$234.42	$407.38