Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.73 / $14.99 / $65.80	Facility		$4.73	$14.99	$65.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.65 / $3.87 / $4.73	Professional		$3.65	$3.87	$4.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.84 / $2.84 / $2.84	Professional		$2.84	$2.84	$2.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.41 / $5.87 / $16.37	Facility		$3.41	$5.87	$16.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.59 / $2.13 / $8.91	Professional		$1.59	$2.13	$8.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.07 / $4.73 / $7.57	Facility		$3.07	$4.73	$7.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.07 / $3.07 / $4.73	Professional		$3.07	$3.07	$4.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.84 / $10.41 / $14.63	Facility		$4.84	$10.41	$14.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.60 / $5.78 / $7.23	Professional		$2.60	$5.78	$7.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.17 / $6.15 / $15.46	Professional		$5.17	$6.15	$15.46
United Facility/Professional Professional Modifier Low / Median / High Price $2.10 / $3.14 / $9.11	Professional		$2.10	$3.14	$9.11