Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.72 / $98.71 / $102.37	Facility		$62.72	$98.71	$102.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.81 / $101.04 / $112.75	Professional		$84.81	$101.04	$112.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.58 / $144.04 / $144.04	Professional		$142.58	$144.04	$144.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.55 / $192.05 / $201.84	Facility		$119.55	$192.05	$201.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.84 / $93.20 / $103.75	Professional		$89.84	$93.20	$103.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $144.04 / $267.45 / $307.61	Facility		$144.04	$267.45	$307.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $182.45 / $238.80 / $316.88	Professional		$182.45	$238.80	$316.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $225.06	Facility		$106.63	$106.63	$225.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $106.63 / $916.14	Professional		$77.84	$106.63	$916.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $90.18 / $112.01 / $137.47	Professional		$90.18	$112.01	$137.47
United Facility/Professional Professional Modifier Low / Median / High Price $63.88 / $92.23 / $153.63	Professional		$63.88	$92.23	$153.63