Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $2,884.03 / $7,943.28	Facility		$6.46	$2,884.03	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.02 / $1,819.70	Professional		$6.03	$12.02	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $6.46 / $6.46	Professional		$5.75	$6.46	$6.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $8.13 / $35.48	Facility		$6.46	$8.13	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $6.46 / $6.46	Professional		$5.25	$6.46	$6.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.46 / $6.46 / $6.46	Facility		$6.46	$6.46	$6.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $6.17 / $6.31	Facility		$6.17	$6.17	$6.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $6.31 / $6.31	Professional		$6.31	$6.31	$6.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.24 / $7.24	Professional		$6.17	$7.24	$7.24
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $12.59 / $17.78	Facility		$7.08	$12.59	$17.78
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $8.51	Professional		$6.46	$6.46	$8.51