Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $13.18 / $75.86	Facility		$6.17	$13.18	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $6.03 / $7.94	Professional		$3.98	$6.03	$7.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $4.17	Professional		$4.17	$4.17	$4.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $8.71 / $12.02	Facility		$4.47	$8.71	$12.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.25 / $14.13	Professional		$3.39	$5.25	$14.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.68 / $4.68 / $4.68	Facility		$4.68	$4.68	$4.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $13.49 / $20.89	Facility		$6.76	$13.49	$20.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $8.32 / $10.23	Professional		$4.27	$8.32	$10.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $9.77 / $24.55	Professional		$7.59	$9.77	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $4.07 / $6.17 / $8.51	Facility		$4.07	$6.17	$8.51
United Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $4.90 / $12.59	Professional		$2.88	$4.90	$12.59