Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.65 / $32.02 / $13,736.58	Facility		$10.65	$32.02	$13,736.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.65 / $13.28	Professional		$10.54	$10.65	$13.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $12.12 / $12.12	Professional		$12.12	$12.12	$12.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $21.08 / $25.51	Facility		$10.54	$21.08	$25.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $14.54	Professional		$10.54	$10.54	$14.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $12.12 / $16.34	Facility		$10.54	$12.12	$16.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $13.70	Professional		$10.54	$10.54	$13.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $10.54 / $17.60	Facility		$10.54	$10.54	$17.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $15.41	Professional		$10.54	$10.54	$15.41
United Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $11.17 / $15.81	Professional		$10.54	$11.17	$15.81