Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.64 / $22.28 / $124.00	Facility		$5.64	$22.28	$124.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $10.74 / $14.17	Professional		$8.19	$10.74	$14.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.39 / $7.39	Professional		$7.39	$7.39	$7.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.54 / $13.55 / $42.63	Facility		$4.54	$13.55	$42.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.22 / $6.08 / $13.35	Professional		$4.22	$6.08	$13.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.01 / $12.32 / $19.71	Facility		$8.01	$12.32	$19.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.01 / $8.01 / $12.32	Professional		$8.01	$8.01	$12.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.25 / $27.10 / $38.39	Facility		$12.25	$27.10	$38.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $14.87 / $18.59	Professional		$7.64	$14.87	$18.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $14.17 / $18.55	Professional		$10.33	$14.17	$18.55
United Facility/Professional Facility Modifier Low / Median / High Price $11.09 / $11.09 / $11.09	Facility		$11.09	$11.09	$11.09
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $5.17 / $17.22	Professional		$2.10	$5.17	$17.22