Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.18 / $20.38 / $79.75	Facility		$3.18	$20.38	$79.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $1.74 / $10.96	Professional		$0.30	$1.74	$10.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $40.00	Professional		$40.00	$40.00	$40.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.49 / $1.10	Facility		$0.30	$0.49	$1.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.34	Professional		$0.30	$0.30	$0.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $0.30 / $0.30 / $0.60	Facility		$0.30	$0.30	$0.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.28 / $0.28 / $0.30	Facility		$0.28	$0.28	$0.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.30	Professional		$0.30	$0.30	$0.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $1.91 / $1.91	Professional		$0.52	$1.91	$1.91
United Facility/Professional Professional Modifier Low / Median / High Price $0.30 / $0.30 / $0.65	Professional		$0.30	$0.30	$0.65