Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $10.47 / $338.84	Facility		$5.13	$10.47	$338.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.57 / $8.13	Professional		$3.02	$4.57	$8.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $2.88 / $2.88	Professional		$2.88	$2.88	$2.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $7.41 / $12.88	Facility		$5.13	$7.41	$12.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.82 / $6.46 / $12.02	Professional		$2.82	$6.46	$12.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.89 / $3.89 / $3.89	Facility		$3.89	$3.89	$3.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $11.48 / $17.78	Facility		$5.75	$11.48	$17.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $7.08 / $8.71	Professional		$3.55	$7.08	$8.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $8.13 / $20.42	Professional		$6.31	$8.13	$20.42
United Facility/Professional Facility Modifier Low / Median / High Price $3.31 / $5.13 / $7.08	Facility		$3.31	$5.13	$7.08
United Facility/Professional Professional Modifier Low / Median / High Price $2.40 / $3.89 / $10.47	Professional		$2.40	$3.89	$10.47