Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.16 / $73.43 / $112.62	Facility		$59.16	$73.43	$112.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.16 / $70.06 / $85.45	Professional		$59.16	$70.06	$85.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $78.37	Professional		$78.37	$78.37	$78.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.58 / $57.59 / $73.87	Professional		$38.58	$57.59	$73.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.79 / $79.37 / $98.57	Facility		$58.79	$79.37	$98.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.79 / $86.46 / $114.13	Professional		$58.79	$86.46	$114.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.60 / $99.60 / $99.60	Facility		$99.60	$99.60	$99.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.56 / $87.08 / $163.61	Professional		$64.56	$87.08	$163.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $32.34 / $80.87	Professional		$32.34	$32.34	$80.87
United Facility/Professional Professional Modifier Low / Median / High Price $70.98 / $90.48 / $133.78	Professional		$70.98	$90.48	$133.78