Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.34 / $65.52 / $80.00	Facility		$51.34	$65.52	$80.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.34 / $72.98 / $117.95	Professional		$51.34	$72.98	$117.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $91.79 / $104.49	Professional		$73.43	$91.79	$104.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.73 / $63.72 / $96.09	Professional		$49.73	$63.72	$96.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $94.33 / $117.49	Facility		$73.43	$94.33	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.43 / $91.79 / $119.41	Professional		$73.43	$91.79	$119.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.81 / $89.96 / $89.96	Facility		$57.81	$89.96	$89.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $8.72 / $8.72 / $8.72	Facility	AS	$8.72	$8.72	$8.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.80 / $90.38 / $154.50	Professional		$62.80	$90.38	$154.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $95.46	Professional		$32.34	$32.34	$95.46
United Facility/Professional Professional Modifier Low / Median / High Price $60.46 / $76.34 / $115.30	Professional		$60.46	$76.34	$115.30