Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $52.48	Facility		$21.88	$21.88	$52.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $32.36	Professional		$21.88	$21.88	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $18.62 / $26.30	Professional		$18.62	$18.62	$26.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $33.11 / $48.98	Facility		$20.42	$33.11	$48.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $38.02	Professional		$19.95	$19.95	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $38.02 / $181.97	Facility		$21.88	$38.02	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $24.55	Professional		$21.88	$21.88	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $21.88 / $58.88	Professional		$2.82	$21.88	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $43.65	Facility		$43.65	$43.65	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $22.91 / $23.99	Professional		$19.95	$22.91	$23.99