Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $46.77 / $257.04	Facility		$7.76	$46.77	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $7.59 / $20.42	Professional		$5.01	$7.59	$20.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.89 / $12.02	Professional		$5.01	$5.89	$12.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $10.72 / $14.45	Facility		$5.50	$10.72	$14.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $6.46 / $16.98	Professional		$4.17	$6.46	$16.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.50 / $6.46 / $12.30	Facility		$5.50	$6.46	$12.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $5.50 / $8.32	Professional		$5.50	$5.50	$8.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $16.98 / $26.30	Facility		$8.32	$16.98	$26.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $9.55 / $12.88	Professional		$5.25	$9.55	$12.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $12.02 / $30.20	Professional		$9.12	$12.02	$30.20
United Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $7.59 / $10.47	Facility		$4.90	$7.59	$10.47
United Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $6.03 / $15.49	Professional		$3.55	$6.03	$15.49