Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.66 / $123.53 / $128.11	Facility		$99.66	$123.53	$128.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.13 / $128.11 / $147.49	Professional		$108.13	$128.11	$147.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.41 / $179.29 / $204.29	Professional		$161.41	$179.29	$204.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $149.61 / $240.34 / $252.60	Facility		$149.61	$240.34	$252.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.97 / $69.97 / $117.47	Professional		$69.97	$69.97	$117.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $233.30 / $264.37 / $382.48	Facility		$233.30	$264.37	$382.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $239.05 / $298.81 / $384.54	Professional		$239.05	$298.81	$384.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.55 / $152.55 / $281.64	Facility		$152.55	$152.55	$281.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $152.55 / $422.07	Professional		$111.36	$152.55	$422.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $114.02 / $140.16 / $173.82	Professional		$114.02	$140.16	$173.82
United Facility/Professional Professional Modifier Low / Median / High Price $79.94 / $117.40 / $158.44	Professional		$79.94	$117.40	$158.44