Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $66.53 / $103.07	Facility		$4.74	$66.53	$103.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.51 / $4.26 / $4.74	Professional		$3.51	$4.26	$4.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.37 / $2.37 / $2.37	Professional		$2.37	$2.37	$2.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.95 / $4.26 / $4.98	Facility		$2.95	$4.26	$4.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $2.34 / $4.70	Professional		$2.24	$2.34	$4.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $5.69 / $6.82	Facility		$4.74	$5.69	$6.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.74 / $5.73 / $9.48	Professional		$4.74	$5.73	$9.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.08 / $3.69 / $8.60	Facility		$3.08	$3.69	$8.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.48 / $5.69 / $31.22	Professional		$2.48	$5.69	$31.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $2.61 / $2.61 / $2.61	Professional		$2.61	$2.61	$2.61
United Facility/Professional Facility Modifier Low / Median / High Price $4.74 / $4.74 / $4.74	Facility		$4.74	$4.74	$4.74
United Facility/Professional Professional Modifier Low / Median / High Price $1.99 / $3.98 / $6.19	Professional		$1.99	$3.98	$6.19