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 / $11.72	Professional		$3.06	$4.46	$11.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $21.49 / $30.79	Facility		$5.62	$21.49	$30.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.21 / $5.62 / $23.86	Professional		$4.21	$5.62	$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 $24.78 / $30.98 / $32.54	Professional		$24.78	$30.98	$32.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $120.00 / $166.00	Professional		$120.00	$120.00	$166.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.13 / $14.51 / $29.68	Professional		$10.13	$14.51	$29.68