Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $93.33 / $302.00	Facility		$20.42	$93.33	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $20.42 / $30.20	Professional		$19.95	$20.42	$30.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $52.48	Professional		$24.55	$24.55	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $24.55 / $24.55	Facility		$23.44	$24.55	$24.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $25.12 / $40.74	Facility		$25.12	$25.12	$40.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $26.92 / $35.48	Professional		$25.12	$26.92	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $85.11 / $85.11	Facility		$20.42	$85.11	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $107.15 / $107.15	Professional		$38.02	$107.15	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $20.42 / $20.42	Professional		$20.42	$20.42	$20.42