Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $67.61 / $218.78	Facility		$23.44	$67.61	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $19.05 / $77.62	Professional		$16.98	$19.05	$77.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $14.13 / $35.48	Professional		$14.13	$14.13	$35.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $70.79	Facility		$23.44	$23.44	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $9.77 / $22.39	Professional		$8.32	$9.77	$22.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $23.44 / $30.90	Facility		$18.62	$23.44	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.44 / $28.18	Professional		$15.49	$23.44	$28.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $23.44 / $44.67	Facility		$15.49	$23.44	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $48.98 / $51.29	Professional		$15.14	$48.98	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $23.44 / $23.44	Facility		$10.72	$23.44	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $23.44	Professional		$10.00	$14.13	$23.44