Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $15.49 / $77.62	Facility		$5.25	$15.49	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $5.01 / $12.88	Professional		$3.02	$5.01	$12.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.95 / $2.95 / $8.51	Professional		$2.95	$2.95	$8.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $7.59 / $10.23	Facility		$3.80	$7.59	$10.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $4.47 / $12.02	Professional		$2.88	$4.47	$12.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.80 / $4.47 / $8.51	Facility		$3.80	$4.47	$8.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.80 / $3.80 / $5.89	Professional		$3.80	$3.80	$5.89
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 $3.63 / $6.61 / $8.71	Professional		$3.63	$6.61	$8.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $8.32 / $21.38	Professional		$6.46	$8.32	$21.38
United Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $5.25 / $7.24	Facility		$3.47	$5.25	$7.24
United Facility/Professional Professional Modifier Low / Median / High Price $2.45 / $4.27 / $12.30	Professional		$2.45	$4.27	$12.30