Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $35.79 / $97.27	Facility		$0.02	$35.79	$97.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.03 / $0.03 / $42.95	Professional		$0.03	$0.03	$42.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.34 / $2.34 / $40.70	Professional		$2.34	$2.34	$40.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.46 / $21.49 / $30.79	Facility		$4.46	$21.49	$30.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.34 / $4.46 / $24.49	Professional		$3.34	$4.46	$24.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $21.14 / $30.65	Facility		$13.74	$21.14	$30.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $15.51 / $23.86	Professional		$13.74	$15.51	$23.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.18 / $27.92 / $66.00	Facility		$1.18	$27.92	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.69 / $19.61 / $32.54	Professional		$15.69	$19.61	$32.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $85.00 / $118.00	Professional		$85.00	$85.00	$118.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $13.17 / $23.94	Professional		$7.50	$13.17	$23.94