Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $20.42 / $109.65	Facility		$12.30	$20.42	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.96 / $32.36	Professional		$8.91	$10.96	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.41 / $7.41	Professional		$7.41	$7.41	$7.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $37.15	Facility		$12.30	$12.30	$37.15
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $6.17 / $12.30	Professional		$6.17	$6.17	$12.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $12.30 / $16.22	Facility		$8.91	$12.30	$16.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.30 / $14.79	Professional		$8.13	$12.30	$14.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $12.30 / $27.54	Facility		$8.13	$12.30	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $8.32 / $26.92	Professional		$7.59	$8.32	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $12.30 / $12.30	Facility		$5.62	$12.30	$12.30
United Facility/Professional Professional Modifier Low / Median / High Price $4.79 / $5.75 / $12.30	Professional		$4.79	$5.75	$12.30