Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $35.48 / $123.03	Facility		$14.13	$35.48	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $15.85 / $17.78	Professional		$12.88	$15.85	$17.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $10.72 / $15.14	Professional		$8.91	$10.72	$15.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $17.78 / $19.05	Facility		$15.14	$17.78	$19.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $18.62	Professional		$8.91	$8.91	$18.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $21.38 / $25.12	Facility		$17.78	$21.38	$25.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $21.38 / $29.51	Professional		$17.78	$21.38	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $34.67 / $34.67	Facility		$11.75	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $87.10 / $87.10	Professional		$10.72	$87.10	$87.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $15.14 / $25.12	Professional		$7.59	$15.14	$25.12