Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $120.23	Facility		$114.82	$114.82	$120.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $120.23 / $181.97	Professional		$100.00	$120.23	$181.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $190.55	Professional		$144.54	$144.54	$190.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $229.09 / $239.88	Facility		$204.17	$229.09	$239.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $123.03	Professional		$114.82	$114.82	$123.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $169.82 / $302.00 / $389.05	Facility		$169.82	$302.00	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $281.84 / $363.08	Professional		$223.87	$281.84	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $354.81 / $354.81	Facility		$125.89	$354.81	$354.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $213.80 / $1,071.52	Professional		$91.20	$213.80	$1,071.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $173.78	Professional		$104.71	$134.90	$173.78
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $107.15 / $125.89	Facility		$100.00	$107.15	$125.89
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $154.88	Professional		$74.13	$107.15	$154.88