Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $10.58 / $86.80	Facility		$3.82	$10.58	$86.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.51 / $5.75	Professional		$3.89	$4.51	$5.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $3.45	Professional		$3.45	$3.45	$3.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.12 / $6.86 / $19.89	Facility		$4.12	$6.86	$19.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.86 / $2.48 / $10.43	Professional		$1.86	$2.48	$10.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.64 / $5.75 / $9.19	Facility		$3.64	$5.75	$9.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.74 / $3.74 / $5.75	Professional		$3.74	$3.74	$5.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.80 / $12.65 / $17.78	Facility		$5.80	$12.65	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.06 / $7.02 / $8.77	Professional		$3.06	$7.02	$8.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.28 / $7.48 / $18.05	Professional		$6.28	$7.48	$18.05
United Facility/Professional Professional Modifier Low / Median / High Price $2.42 / $3.67 / $10.51	Professional		$2.42	$3.67	$10.51