Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $31.62	Facility		$21.88	$21.88	$31.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $21.88 / $26.30	Professional		$16.22	$21.88	$26.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $43.65	Professional		$18.62	$21.88	$43.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $18.62 / $41.69	Facility		$17.78	$18.62	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Professional		$19.95	$19.95	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $33.11 / $54.95	Facility		$21.88	$33.11	$54.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $28.84	Professional		$21.88	$21.88	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $85.11 / $85.11	Facility		$21.88	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $104.71 / $104.71	Professional		$21.88	$104.71	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $23.99	Professional		$19.95	$23.99	$23.99