Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.11 / $4.11 / $4.11	Facility		$4.11	$4.11	$4.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.77 / $4.11 / $5.20	Professional		$1.77	$4.11	$5.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $3.35 / $6.50	Professional		$3.35	$3.35	$6.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.24 / $5.40 / $12.37	Professional		$3.24	$5.40	$12.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.53 / $6.50 / $12.74	Facility		$5.53	$6.50	$12.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.53 / $5.53 / $5.53	Professional		$5.53	$5.53	$5.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3.29 / $3.90 / $3.90	Facility		$3.29	$3.90	$3.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.32 / $3.32 / $7.29	Professional		$3.32	$3.32	$7.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4.94 / $6.50 / $8.52	Professional		$4.94	$6.50	$8.52
United Facility/Professional Professional Modifier Low / Median / High Price $2.16 / $3.10 / $5.40	Professional		$2.16	$3.10	$5.40