Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $41.46 / $116.90	Facility		$7.76	$41.46	$116.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.99 / $7.05 / $9.71	Professional		$5.99	$7.05	$9.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.84 / $4.84 / $5.51	Professional		$4.84	$4.84	$5.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.84 / $10.34 / $27.99	Facility		$5.84	$10.34	$27.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.00 / $4.00 / $16.28	Professional		$3.00	$4.00	$16.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.26 / $8.09 / $12.94	Facility		$5.26	$8.09	$12.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $5.26 / $8.09	Professional		$5.26	$5.26	$8.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $17.80 / $25.33	Facility		$8.06	$17.80	$25.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $9.91 / $12.39	Professional		$5.26	$9.91	$12.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $12.19 / $28.24	Professional		$9.30	$12.19	$28.24
United Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $7.28 / $7.28	Facility		$7.28	$7.28	$7.28
United Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $5.91 / $14.78	Professional		$4.00	$5.91	$14.78