Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $83.18 / $371.54	Facility		$25.70	$83.18	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $45.71 / $77.62	Professional		$19.95	$45.71	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $17.78 / $25.70	Professional		$15.14	$17.78	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $25.70 / $75.86	Facility		$23.99	$25.70	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $12.59 / $25.70	Professional		$12.59	$12.59	$25.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $25.70 / $33.11	Facility		$16.98	$25.70	$33.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $25.70 / $30.20	Professional		$16.60	$25.70	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $25.70 / $56.23	Facility		$16.60	$25.70	$56.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $18.20 / $36.31	Professional		$16.22	$18.20	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $25.70 / $25.70	Facility		$11.48	$25.70	$25.70
United Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $11.75 / $25.70	Professional		$5.50	$11.75	$25.70