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 $3.06 / $4.46 / $17.80	Professional		$3.06	$4.46	$17.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $22.26 / $30.79	Facility		$6.77	$22.26	$30.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $6.77 / $23.86	Professional		$5.07	$6.77	$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 $28.91 / $32.54 / $36.14	Professional		$28.91	$32.54	$36.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $210.00 / $291.00	Professional		$210.00	$210.00	$291.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $15.18 / $33.29	Professional		$12.90	$15.18	$33.29