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 $2.84 / $3.66 / $11.25	Professional		$2.84	$3.66	$11.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.18 / $21.49 / $30.79	Facility		$4.18	$21.49	$30.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.13 / $4.18 / $23.86	Professional		$3.13	$4.18	$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 $23.95 / $29.94 / $32.54	Professional		$23.95	$29.94	$32.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $126.00 / $175.00	Professional		$126.00	$126.00	$175.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.77 / $14.48 / $50.19	Professional		$10.77	$14.48	$50.19