Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.24 / $62.37 / $384.45	Facility		$9.24	$62.37	$384.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $7.56 / $12.02	Professional		$5.59	$7.56	$12.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.05 / $5.05 / $5.05	Professional		$5.05	$5.05	$5.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.07 / $10.74 / $29.10	Facility		$6.07	$10.74	$29.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.11 / $4.15 / $16.82	Professional		$3.11	$4.15	$16.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.47 / $8.41 / $13.46	Facility		$5.47	$8.41	$13.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $5.47 / $8.41	Professional		$5.47	$5.47	$8.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.38 / $18.50 / $26.15	Facility		$8.38	$18.50	$26.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $10.33 / $12.91	Professional		$5.47	$10.33	$12.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $10.93 / $30.18	Professional		$9.19	$10.93	$30.18
United Facility/Professional Facility Modifier Low / Median / High Price $4.63 / $4.63 / $4.80	Facility		$4.63	$4.63	$4.80
United Facility/Professional Professional Modifier Low / Median / High Price $4.93 / $6.13 / $14.72	Professional		$4.93	$6.13	$14.72