Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.01 / $10.01 / $10.01	Facility		$10.01	$10.01	$10.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $10.01 / $12.63	Professional		$6.90	$10.01	$12.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $10.27	Professional		$10.27	$10.27	$10.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $13.14 / $29.23	Professional		$7.91	$13.14	$29.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.41 / $13.43 / $29.23	Facility		$13.41	$13.43	$29.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $13.43 / $13.43	Professional		$13.43	$13.43	$13.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.10 / $9.49 / $9.49	Facility		$8.10	$9.49	$9.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.07 / $8.07 / $17.92	Professional		$8.07	$8.07	$17.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $15.80 / $20.75	Professional		$12.01	$15.80	$20.75
United Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $7.55 / $13.00	Professional		$5.26	$7.55	$13.00