Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $16.98 / $87.10	Facility		$5.13	$16.98	$87.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $4.57 / $7.24	Professional		$3.98	$4.57	$7.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $2.57 / $5.13	Professional		$2.19	$2.57	$5.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $5.13 / $15.49	Facility		$5.13	$5.13	$15.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $2.57 / $5.13	Professional		$2.14	$2.57	$5.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $5.13 / $6.76	Facility		$3.98	$5.13	$6.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.13 / $6.17	Professional		$3.39	$5.13	$6.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $5.13 / $11.48	Facility		$3.80	$5.13	$11.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $8.51 / $10.72	Professional		$3.80	$8.51	$10.72
United Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $5.13 / $5.13	Facility		$2.34	$5.13	$5.13
United Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $3.09 / $5.13	Professional		$2.19	$3.09	$5.13