Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.75 / $7.75 / $7.75	Facility		$7.75	$7.75	$7.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $7.75 / $9.78	Professional		$3.35	$7.75	$9.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.32 / $6.32 / $7.04	Professional		$6.32	$6.32	$7.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $10.18 / $22.64	Professional		$6.13	$10.18	$22.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.84 / $12.24 / $19.57	Facility		$7.84	$12.24	$19.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.40 / $12.24 / $17.14	Professional		$10.40	$12.24	$17.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.35 / $7.35 / $7.79	Facility		$7.35	$7.35	$7.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.25 / $6.25 / $13.89	Professional		$6.25	$6.25	$13.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $12.24 / $22.03	Professional		$9.30	$12.24	$22.03
United Facility/Professional Facility Modifier Low / Median / High Price $3.35 / $4.72 / $7.79	Facility		$3.35	$4.72	$7.79
United Facility/Professional Professional Modifier Low / Median / High Price $4.05 / $5.81 / $10.07	Professional		$4.05	$5.81	$10.07