Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $5.01 / $5.01	Facility		$5.01	$5.01	$5.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $5.01 / $8.91	Professional		$3.98	$5.01	$8.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.32 / $11.22	Professional		$8.13	$8.32	$11.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $11.22 / $11.75	Facility		$10.23	$11.22	$11.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $6.61 / $6.92	Professional		$5.13	$6.61	$6.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $14.79 / $19.50	Facility		$8.32	$14.79	$19.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $17.78	Professional		$10.96	$13.80	$17.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $19.50 / $19.50	Facility		$7.08	$19.50	$19.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $10.96 / $58.88	Professional		$5.25	$10.96	$58.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $7.41 / $9.55	Professional		$5.75	$7.41	$9.55
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $7.41 / $8.51	Facility		$6.31	$7.41	$8.51
United Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $5.50 / $8.51	Professional		$3.72	$5.50	$8.51