Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $25.12 / $85.11	Facility		$5.62	$25.12	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $25.12	Professional		$3.98	$5.01	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $3.89 / $5.62	Professional		$3.89	$3.89	$5.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $5.62 / $16.60	Facility		$5.62	$5.62	$16.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.75 / $5.62	Professional		$2.69	$2.75	$5.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.72 / $5.62 / $7.24	Facility		$3.72	$5.62	$7.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $5.62 / $6.61	Professional		$3.63	$5.62	$6.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $5.62 / $12.30	Facility		$4.07	$5.62	$12.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $12.02 / $14.79	Professional		$5.01	$12.02	$14.79
United Facility/Professional Facility Modifier Low / Median / High Price $2.51 / $5.62 / $5.62	Facility		$2.51	$5.62	$5.62
United Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $3.39 / $5.62	Professional		$2.34	$3.39	$5.62