Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $17.38 / $30.78	Facility		$6.46	$17.38	$30.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.44 / $13.89	Professional		$6.46	$8.44	$13.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.86 / $4.86 / $4.86	Professional		$4.86	$4.86	$4.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.19 / $12.41 / $33.60	Facility		$7.19	$12.41	$33.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $7.19 / $21.17	Professional		$3.60	$7.19	$21.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.31 / $9.71 / $15.54	Facility		$6.31	$9.71	$15.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $9.71	Professional		$6.31	$6.31	$9.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $21.36 / $30.31	Facility		$9.67	$21.36	$30.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $11.98 / $14.98	Professional		$6.91	$11.98	$14.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $12.62 / $96.82	Professional		$10.61	$12.62	$96.82
United Facility/Professional Facility Modifier Low / Median / High Price $8.74 / $8.74 / $8.74	Facility		$8.74	$8.74	$8.74
United Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $13.32 / $21.06	Professional		$6.31	$13.32	$21.06