Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.75 / $5.75 / $5.75	Facility		$5.75	$5.75	$5.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.81 / $5.75 / $7.20	Professional		$3.81	$5.75	$7.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.55 / $4.68 / $5.90	Professional		$3.55	$4.68	$5.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.00 / $7.54 / $17.14	Professional		$4.00	$7.54	$17.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.70 / $7.88 / $16.78	Facility		$6.70	$7.88	$16.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $6.70 / $6.70	Professional		$6.70	$6.70	$6.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4.00 / $5.57 / $5.57	Facility		$4.00	$5.57	$5.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.73 / $4.73 / $10.30	Professional		$4.73	$4.73	$10.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $9.07 / $16.32	Professional		$6.89	$9.07	$16.32
United Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.36 / $7.46	Professional		$3.02	$4.36	$7.46