Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.23 / $84.88 / $253.50	Facility		$13.23	$84.88	$253.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $8.86 / $13.34	Professional		$7.53	$8.86	$13.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $6.11 / $6.11	Professional		$6.11	$6.11	$6.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.36 / $13.01 / $33.44	Facility		$7.36	$13.01	$33.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.76 / $5.01 / $20.79	Professional		$3.76	$5.01	$20.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.62 / $10.18 / $16.29	Facility		$6.62	$10.18	$16.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $6.62 / $10.18	Professional		$6.62	$6.62	$10.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $22.40 / $31.86	Facility		$10.00	$22.40	$31.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $12.39 / $15.49	Professional		$6.26	$12.39	$15.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $11.12 / $13.23 / $36.57	Professional		$11.12	$13.23	$36.57
United Facility/Professional Facility Modifier Low / Median / High Price $5.60 / $5.83 / $12.73	Facility		$5.60	$5.83	$12.73
United Facility/Professional Professional Modifier Low / Median / High Price $5.00 / $7.43 / $14.22	Professional		$5.00	$7.43	$14.22