Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $100.00 / $134.90	Facility		$66.07	$100.00	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $72.44 / $89.13	Professional		$58.88	$72.44	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $204.17	Professional		$70.79	$75.86	$204.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $57.54 / $70.79	Professional		$43.65	$57.54	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $79.43 / $109.65	Facility		$58.88	$79.43	$109.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $83.18 / $109.65	Professional		$58.88	$83.18	$109.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $104.71 / $389.05	Professional		$66.07	$104.71	$389.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $51.29	Professional		$32.36	$33.11	$51.29
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $89.13 / $131.83	Professional		$64.57	$89.13	$131.83