Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.93 / $83.79 / $110.88	Facility		$73.93	$83.79	$110.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.93 / $97.74 / $162.16	Professional		$73.93	$97.74	$162.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $137.49 / $148.22	Professional		$105.76	$137.49	$148.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $93.60 / $143.06	Professional		$79.56	$93.60	$143.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.76 / $136.71 / $169.22	Facility		$105.76	$136.71	$169.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.76 / $132.19 / $172.16	Professional		$105.76	$132.19	$172.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.84 / $129.88 / $129.88	Facility		$97.84	$129.88	$129.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.63 / $127.27 / $228.22	Professional		$95.63	$127.27	$228.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $137.49	Professional		$32.34	$32.34	$137.49
United Facility/Professional Professional Modifier Low / Median / High Price $88.10 / $115.33 / $169.82	Professional		$88.10	$115.33	$169.82