Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $102.33 / $138.04	Facility		$64.57	$102.33	$138.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $95.50	Professional		$58.88	$70.79	$95.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $79.43 / $87.10	Professional		$66.07	$79.43	$87.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $64.57 / $81.28	Professional		$47.86	$64.57	$81.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $79.43 / $112.20	Facility		$58.88	$79.43	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $83.18 / $112.20	Professional		$63.10	$83.18	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $114.82 / $114.82	Facility		$83.18	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $398.11	Professional		$69.18	$112.20	$398.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $33.11 / $48.98	Professional		$32.36	$33.11	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $134.90	Professional		$67.61	$89.13	$134.90