Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $15.00 / $26.00	Facility		$15.00	$15.00	$26.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.45 / $15.00 / $480.00	Professional		$12.45	$15.00	$480.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.50 / $17.50 / $17.50	Professional		$17.50	$17.50	$17.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $15.00 / $19.69	Professional		$9.27	$15.00	$19.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $17.13 / $25.61	Facility		$17.02	$17.13	$25.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $17.13 / $17.13 / $41.57	Professional		$17.13	$17.13	$41.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.28 / $37.28 / $37.28	Facility		$37.28	$37.28	$37.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.00 / $155.93	Professional		$10.00	$16.00	$155.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $45.00 / $50.70	Professional		$11.77	$45.00	$50.70
United Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $39.09 / $68.34	Professional		$28.99	$39.09	$68.34