Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.70 / $36.31	Facility		$16.98	$25.70	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $39.81	Professional		$19.95	$28.18	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Professional		$19.50	$19.50	$19.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,549.93 / $10,715.19 / $11,220.18	Facility		$9,549.93	$10,715.19	$11,220.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $23.99 / $36.31	Professional		$13.18	$23.99	$36.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $23.44 / $27.54	Facility		$16.98	$23.44	$27.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $28.18	Professional		$16.98	$23.99	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $31.62 / $31.62	Facility		$21.88	$31.62	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $36.31 / $251.19	Professional		$21.88	$36.31	$251.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $31.62 / $51.29	Professional		$19.50	$31.62	$51.29