Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $35.48 / $169.82	Facility		$14.13	$35.48	$169.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.30 / $19.95	Professional		$10.96	$12.30	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $14.13 / $42.66	Facility		$14.13	$14.13	$42.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $7.08 / $14.13	Professional		$6.76	$7.08	$14.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $14.13 / $18.62	Facility		$9.77	$14.13	$18.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $14.13 / $16.98	Professional		$9.12	$14.13	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $14.13 / $31.62	Facility		$10.47	$14.13	$31.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $31.62 / $36.31	Professional		$10.23	$31.62	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $14.13 / $14.13	Facility		$6.31	$14.13	$14.13
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $9.12 / $15.49	Professional		$6.03	$9.12	$15.49