Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $32.36	Professional		$18.20	$21.88	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.90 / $38.90	Professional		$38.02	$38.90	$38.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $27.54 / $48.98	Professional		$2.69	$27.54	$48.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.47 / $34.67 / $48.98	Facility		$3.47	$34.67	$48.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3.47 / $26.30 / $48.98	Professional		$3.47	$26.30	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.18 / $28.18 / $37.15	Facility		$28.18	$28.18	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $44.67	Professional		$23.99	$28.18	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.90 / $50.12	Professional		$31.62	$38.90	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $16.22 / $29.51	Facility		$1.95	$16.22	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $23.44 / $39.81	Professional		$15.49	$23.44	$39.81