Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.71 / $60.94 / $63.20	Facility		$38.71	$60.94	$63.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.71 / $63.20 / $69.97	Professional		$38.71	$63.20	$69.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.01 / $88.01 / $88.42	Professional		$88.01	$88.01	$88.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $73.80 / $118.56 / $124.61	Facility		$73.80	$118.56	$124.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $57.52 / $64.01	Professional		$55.45	$57.52	$64.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.92 / $165.05 / $189.88	Facility		$88.92	$165.05	$189.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.63 / $147.36 / $195.62	Professional		$112.63	$147.36	$195.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.81 / $65.81 / $383.66	Facility		$65.81	$65.81	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.04 / $65.81 / $565.48	Professional		$48.04	$65.81	$565.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $51.96 / $65.90 / $79.21	Professional		$51.96	$65.90	$79.21
United Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $56.93 / $78.16	Professional		$39.43	$56.93	$78.16