Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.00 / $14.00 / $14.00	Facility		$14.00	$14.00	$14.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $14.00 / $24.13	Professional		$12.12	$14.00	$24.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $28.46 / $28.46	Professional		$28.46	$28.46	$28.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $19.05 / $25.66	Professional		$16.07	$19.05	$25.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.88 / $17.94 / $39.77	Facility		$15.88	$17.94	$39.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.88 / $39.77 / $49.24	Professional		$15.88	$39.77	$49.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.32 / $56.82	Professional		$10.00	$16.32	$56.82
United Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $44.69 / $73.16	Professional		$35.49	$44.69	$73.16