Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $43.65 / $58.88	Professional		$34.67	$43.65	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $77.62 / $93.33	Professional		$70.79	$77.62	$93.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $52.48 / $117.49	Professional		$6.03	$52.48	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $58.88 / $83.18	Facility		$6.92	$58.88	$83.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $43.65 / $100.00	Professional		$5.89	$43.65	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $43.65 / $74.13	Facility		$43.65	$43.65	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $43.65 / $93.33	Professional		$37.15	$43.65	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $93.33	Professional		$52.48	$70.79	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $37.15 / $63.10	Facility		$4.47	$37.15	$63.10
United Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $61.66 / $109.65	Professional		$37.15	$61.66	$109.65