Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $27.54 / $102.33	Facility		$2.04	$27.54	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.00 / $2.00 / $2.75	Professional		$2.00	$2.00	$2.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.74 / $1.74 / $1.74	Professional		$1.74	$1.74	$1.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.19 / $11.22	Facility		$2.04	$2.19	$11.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.09	Professional		$2.04	$2.04	$2.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Facility		$2.04	$2.04	$2.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.95 / $1.95 / $2.04	Facility		$1.95	$1.95	$2.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $2.04	Professional		$2.04	$2.04	$2.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.24 / $22.39 / $22.39	Professional		$2.24	$22.39	$22.39
United Facility/Professional Facility Modifier Low / Median / High Price $2.34 / $4.37 / $6.17	Facility		$2.34	$4.37	$6.17
United Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.04 / $8.71	Professional		$2.04	$2.04	$8.71