Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $54.95 / $295.12	Facility		$22.39	$54.95	$295.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $19.50 / $25.70	Professional		$18.20	$19.50	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $15.49	Professional		$13.49	$13.49	$15.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $22.39 / $67.61	Facility		$15.85	$22.39	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.49 / $56.23	Professional		$10.96	$13.49	$56.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $22.91 / $38.02	Facility		$16.98	$22.91	$38.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.39 / $26.92	Professional		$14.45	$22.39	$26.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $22.39 / $50.12	Facility		$16.22	$22.39	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $30.20 / $64.57	Professional		$21.38	$30.20	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $22.39 / $22.39	Facility		$7.76	$22.39	$22.39
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $13.49 / $24.55	Professional		$9.33	$13.49	$24.55