Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.13 / $25.13 / $25.13	Facility		$25.13	$25.13	$25.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $25.13 / $31.52	Professional		$17.34	$25.13	$31.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.64 / $23.64 / $23.64	Professional		$23.64	$23.64	$23.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.89 / $32.99 / $73.40	Professional		$17.89	$32.99	$73.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $39.68 / $77.77	Facility		$33.72	$39.68	$77.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.72 / $33.72 / $33.72	Professional		$33.72	$33.72	$33.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $19.37 / $19.95	Facility		$19.37	$19.37	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.46 / $28.04	Professional		$16.19	$16.46	$28.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.16 / $39.68 / $71.42	Professional		$30.16	$39.68	$71.42
United Facility/Professional Professional Modifier Low / Median / High Price $13.20 / $18.97 / $32.70	Professional		$13.20	$18.97	$32.70