Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $35.79 / $42.95	Facility		$0.02	$35.79	$42.95
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 $2.38 / $3.47 / $11.25	Professional		$2.38	$3.47	$11.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $21.49 / $30.79	Facility		$4.90	$21.49	$30.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.67 / $4.90 / $23.86	Professional		$3.67	$4.90	$23.86
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 $22.30 / $27.88 / $32.54	Professional		$22.30	$27.88	$32.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.00 / $94.00 / $130.00	Professional		$94.00	$94.00	$130.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $14.11 / $41.77	Professional		$10.11	$14.11	$41.77