Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.50 / $30.81 / $247.20	Facility		$9.50	$30.81	$247.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $7.66 / $9.82	Professional		$6.46	$7.66	$9.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.83 / $5.83 / $5.83	Professional		$5.83	$5.83	$5.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.97 / $11.58 / $33.63	Facility		$6.97	$11.58	$33.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.15 / $4.20 / $17.61	Professional		$3.15	$4.20	$17.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.32 / $9.72 / $15.55	Facility		$6.32	$9.72	$15.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $6.32 / $9.72	Professional		$6.32	$6.32	$9.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.67 / $21.38 / $30.31	Facility		$9.67	$21.38	$30.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.19 / $11.98 / $14.98	Professional		$5.19	$11.98	$14.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $10.62 / $12.64 / $30.52	Professional		$10.62	$12.64	$30.52
United Facility/Professional Facility Modifier Low / Median / High Price $8.75 / $8.75 / $8.75	Facility		$8.75	$8.75	$8.75
United Facility/Professional Professional Modifier Low / Median / High Price $4.99 / $6.20 / $17.76	Professional		$4.99	$6.20	$17.76