Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.76 / $45.61 / $92.00	Facility		$4.76	$45.61	$92.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.52 / $4.16 / $6.82	Professional		$3.52	$4.16	$6.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.86 / $2.86 / $3.13	Professional		$2.86	$2.86	$3.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.44 / $6.08 / $15.10	Facility		$3.44	$6.08	$15.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $2.27 / $9.39	Professional		$1.70	$2.27	$9.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.09 / $4.76 / $7.62	Facility		$3.09	$4.76	$7.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.09 / $3.09 / $4.76	Professional		$3.09	$3.09	$4.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $10.47 / $14.71	Facility		$4.84	$10.47	$14.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $5.78 / $7.23	Professional		$3.28	$5.78	$7.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.20 / $6.19 / $16.50	Professional		$5.20	$6.19	$16.50
United Facility/Professional Facility Modifier Low / Median / High Price $4.28 / $4.28 / $4.28	Facility		$4.28	$4.28	$4.28
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $3.35 / $8.69	Professional		$2.10	$3.35	$8.69