Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $40.74 / $489.78	Facility		$10.96	$40.74	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $25.12	Professional		$8.91	$10.96	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $10.00 / $26.92	Professional		$5.37	$10.00	$26.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $12.59 / $13.18	Facility		$10.47	$12.59	$13.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.46 / $8.13	Professional		$5.89	$6.46	$8.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $15.14 / $17.78	Facility		$12.59	$15.14	$17.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.14 / $19.95	Professional		$12.59	$15.14	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $19.95 / $19.95	Facility		$8.13	$19.95	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $60.26 / $60.26	Professional		$6.17	$60.26	$60.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $6.92	Professional		$6.92	$6.92	$6.92
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.91 / $14.79	Professional		$5.25	$8.91	$14.79