Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.67 / $95.31 / $99.12	Facility		$64.67	$95.31	$99.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.09 / $96.68 / $106.16	Professional		$85.09	$96.68	$106.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.38 / $149.38 / $149.38	Professional		$149.38	$149.38	$149.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $124.67 / $200.27 / $210.48	Facility		$124.67	$200.27	$210.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.67 / $106.87 / $121.56	Professional		$93.67	$106.87	$121.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $150.19 / $278.83 / $320.73	Facility		$150.19	$278.83	$320.73
CareSource Facility/Professional Professional Modifier Low / Median / High Price $190.26 / $248.96 / $330.45	Professional		$190.26	$248.96	$330.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.62 / $120.62 / $234.70	Facility		$120.62	$120.62	$234.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.05 / $120.62 / $955.23	Professional		$88.05	$120.62	$955.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.75 / $120.43 / $150.53	Professional		$98.75	$120.43	$150.53
United Facility/Professional Professional Modifier Low / Median / High Price $66.61 / $99.91 / $159.58	Professional		$66.61	$99.91	$159.58