Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $128.71 / $379.79	Facility		$17.78	$128.71	$379.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.42 / $19.37 / $19.67	Professional		$18.42	$19.37	$19.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.13 / $27.13 / $27.13	Professional		$27.13	$27.13	$27.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.51 / $19.53 / $22.81	Facility		$13.51	$19.53	$22.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.26 / $10.71 / $21.50	Professional		$10.26	$10.71	$21.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.70 / $26.04 / $30.42	Facility		$21.70	$26.04	$30.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.70 / $26.26 / $43.40	Professional		$21.70	$26.26	$43.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.11 / $16.88 / $39.35	Facility		$14.11	$16.88	$39.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $24.41 / $139.55	Professional		$11.06	$24.41	$139.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.94 / $11.94 / $11.94	Professional		$11.94	$11.94	$11.94
United Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $18.18 / $34.76	Professional		$9.11	$18.18	$34.76