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 $2.57 / $3.02 / $10.87	Professional		$2.57	$3.02	$10.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.18 / $21.49 / $30.79	Facility		$5.18	$21.49	$30.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.88 / $5.18 / $23.86	Professional		$3.88	$5.18	$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 $20.23 / $25.30 / $32.54	Professional		$20.23	$25.30	$32.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $111.00 / $154.00	Professional		$111.00	$111.00	$154.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $14.48 / $49.14	Professional		$10.76	$14.48	$49.14