Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.64 / $26.69 / $36.44	Facility		$25.64	$26.69	$36.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $33.18 / $52.50	Professional		$23.91	$33.18	$52.50
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $39.76 / $50.00 / $50.21	Professional	25	$39.76	$50.00	$50.21
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $12.19 / $15.92 / $20.30	Professional	52	$12.19	$15.92	$20.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.90 / $38.90 / $52.77	Professional		$29.90	$38.90	$52.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.95 / $56.95 / $91.12	Facility		$56.95	$56.95	$91.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.20 / $41.50 / $57.27	Professional		$33.20	$41.50	$57.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $30.55 / $36.65	Facility		$24.44	$30.55	$36.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.18 / $42.22 / $52.77	Professional		$35.18	$42.22	$52.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.77 / $35.77 / $35.77	Facility		$35.77	$35.77	$35.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.82 / $34.82 / $55.56	Professional		$34.82	$34.82	$55.56
United Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $39.44 / $62.77	Professional		$31.71	$39.44	$62.77