Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.89 / $162.16 / $289.24	Facility		$15.89	$162.16	$289.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.57 / $16.77 / $23.18	Professional		$13.57	$16.77	$23.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $9.69 / $24.23	Professional		$3.88	$9.69	$24.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $17.44 / $20.37	Facility		$12.06	$17.44	$20.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $9.57 / $19.20	Professional		$9.17	$9.57	$19.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.38 / $23.26 / $27.23	Facility		$19.38	$23.26	$27.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $23.45 / $38.76	Professional		$19.38	$23.45	$38.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $15.08 / $35.14	Facility		$12.60	$15.08	$35.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.91 / $22.30 / $124.85	Professional		$9.91	$22.30	$124.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.66 / $10.66 / $10.66	Professional		$10.66	$10.66	$10.66
United Facility/Professional Professional Modifier Low / Median / High Price $7.75 / $16.25 / $27.08	Professional		$7.75	$16.25	$27.08