Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $0.05	Facility		$0.02	$0.05	$0.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $93.00 / $125.00	Professional		$25.00	$93.00	$125.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $5.89 / $5.89	Professional		$5.89	$5.89	$5.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.74 / $3.74 / $7.22	Facility		$3.74	$3.74	$7.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $4.11 / $18.09	Professional		$3.74	$4.11	$18.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $23.17 / $33.11	Facility		$22.07	$23.17	$33.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.35 / $22.07 / $26.48	Professional		$14.35	$22.07	$26.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $21.67 / $27.86	Professional		$11.06	$21.67	$27.86
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $10.30 / $19.13	Professional		$9.24	$10.30	$19.13