Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.65 / $22.22 / $165.26	Facility		$6.65	$22.22	$165.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $5.73 / $8.41	Professional		$4.21	$5.73	$8.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $4.21 / $4.21	Professional		$4.21	$4.21	$4.21
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.20 / $8.94 / $23.04	Facility		$5.20	$8.94	$23.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.59 / $5.20 / $14.73	Professional		$2.59	$5.20	$14.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.40 / $7.01 / $11.22	Facility		$4.40	$7.01	$11.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $4.55 / $7.01	Professional		$4.55	$4.55	$7.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.09 / $15.42 / $22.06	Facility		$7.09	$15.42	$22.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $8.67 / $10.84	Professional		$4.94	$8.67	$10.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.66 / $9.11 / $25.20	Professional		$7.66	$9.11	$25.20
United Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Facility		$6.31	$6.31	$6.31
United Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $5.12 / $9.80	Professional		$3.15	$5.12	$9.80