Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.84 / $68.20 / $192.10	Facility		$8.84	$68.20	$192.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.09 / $6.00 / $8.24	Professional		$5.09	$6.00	$8.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.13 / $4.13 / $4.69	Professional		$4.13	$4.13	$4.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.98 / $8.81 / $23.84	Facility		$4.98	$8.81	$23.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.54 / $3.40 / $13.80	Professional		$2.54	$3.40	$13.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.38 / $6.89 / $11.02	Facility		$4.38	$6.89	$11.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.48 / $4.48 / $6.89	Professional		$4.48	$4.48	$6.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.77 / $15.16 / $21.24	Facility		$6.77	$15.16	$21.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $8.26 / $10.33	Professional		$4.28	$8.26	$10.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $8.96 / $24.74	Professional		$7.53	$8.96	$24.74
United Facility/Professional Facility Modifier Low / Median / High Price $2.31 / $2.31 / $2.31	Facility		$2.31	$2.31	$2.31
United Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $5.39 / $12.59	Professional		$4.00	$5.39	$12.59