Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $27.54 / $47.86	Facility		$15.85	$27.54	$47.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $15.85 / $20.89	Professional		$14.13	$15.85	$20.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $19.95 / $20.89	Facility		$16.60	$19.95	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $27.54	Professional		$10.00	$10.00	$27.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $28.18 / $38.02	Facility		$19.95	$28.18	$38.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.30 / $33.11	Professional		$21.38	$26.30	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $38.02 / $38.02	Facility		$12.88	$38.02	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $44.67 / $134.90	Professional		$10.23	$44.67	$134.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $10.96	Professional		$10.96	$10.96	$10.96
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $15.14 / $15.14	Facility		$15.14	$15.14	$15.14
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $16.60 / $27.54	Professional		$8.51	$16.60	$27.54