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 $15.00 / $85.00 / $117.00	Professional		$15.00	$85.00	$117.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $17.27 / $17.27	Professional		$17.27	$17.27	$17.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.75 / $4.75 / $9.17	Facility		$4.75	$4.75	$9.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $4.75 / $11.79	Professional		$4.75	$4.75	$11.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28,874.72 / $32,812.17 / $39,374.61	Facility		$28,874.72	$32,812.17	$39,374.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34,124.66 / $36,749.62 / $36,749.62	Professional		$34,124.66	$36,749.62	$36,749.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.27 / $26.02 / $32.52	Professional		$6.27	$26.02	$32.52