Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.91 / $11.34 / $78.00	Facility		$3.91	$11.34	$78.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $5.12 / $10.53	Professional		$3.91	$5.12	$10.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.94 / $2.94 / $2.94	Professional		$2.94	$2.94	$2.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.24 / $7.51 / $20.34	Facility		$4.24	$7.51	$20.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $2.90 / $11.79	Professional		$2.17	$2.90	$11.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $5.88 / $9.41	Facility		$3.82	$5.88	$9.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $3.82 / $5.88	Professional		$3.82	$3.82	$5.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.80 / $12.94 / $17.98	Facility		$5.80	$12.94	$17.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.82 / $7.02 / $8.77	Professional		$3.82	$7.02	$8.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.43 / $7.64 / $21.14	Professional		$6.43	$7.64	$21.14
United Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $4.82 / $12.57	Professional		$3.45	$4.82	$12.57