Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $33.11 / $54.95	Facility		$21.38	$33.11	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $57.54	Professional		$23.99	$37.15	$57.54
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $36.31 / $36.31 / $36.31	Professional	25	$36.31	$36.31	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $33.88 / $42.66	Professional		$29.51	$33.88	$42.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $40.74 / $79.43	Facility		$35.48	$40.74	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $40.74 / $79.43	Professional		$33.11	$40.74	$79.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $40.74 / $51.29	Facility		$35.48	$40.74	$51.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $41.69 / $60.26	Professional		$36.31	$41.69	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $43.65 / $51.29	Facility		$37.15	$43.65	$51.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $144.54	Professional		$33.88	$43.65	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Facility		$28.18	$28.18	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $42.66 / $61.66	Professional		$36.31	$42.66	$61.66