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 $3.10 / $11.15 / $34.32	Professional		$3.10	$11.15	$34.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.05 / $21.49 / $30.79	Facility		$6.05	$21.49	$30.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.53 / $6.05 / $23.86	Professional		$4.53	$6.05	$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 $16.52 / $20.65 / $32.54	Professional		$16.52	$20.65	$32.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.00 / $138.00 / $192.00	Professional		$138.00	$138.00	$192.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $14.48 / $27.27	Professional		$10.77	$14.48	$27.27