Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $62.50 / $100.00	Professional		$62.50	$62.50	$100.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $40.00 / $40.00	Professional		$34.00	$40.00	$40.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.64 / $51.64 / $51.64	Facility		$51.64	$51.64	$51.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.00 / $50.00 / $60.00	Facility		$45.00	$50.00	$60.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $55.00 / $62.50	Professional		$45.00	$55.00	$62.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $65.00 / $120.00	Professional		$40.00	$65.00	$120.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00