Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.97 / $182.86 / $182.86	Facility		$94.97	$182.86	$182.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.20 / $182.86 / $183.77	Professional		$97.20	$182.86	$183.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.80 / $316.80 / $316.80	Professional		$316.80	$316.80	$316.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $57.50 / $57.50	Professional		$40.00	$57.50	$57.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.97 / $84.83 / $96.53	Facility		$34.97	$84.83	$96.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $179.84 / $179.84	Professional		$51.14	$179.84	$179.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $111.40 / $111.40	Professional		$111.40	$111.40	$111.40