Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $9.12 / $14.13	Facility		$8.91	$9.12	$14.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $10.72	Professional		$8.91	$8.91	$10.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $10.00 / $50.12	Facility		$9.12	$10.00	$50.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $8.71 / $9.12	Facility		$8.71	$8.71	$9.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.02 / $12.02	Professional		$8.91	$12.02	$12.02
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $16.60 / $23.44	Facility		$9.12	$16.60	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $13.80	Professional		$9.12	$9.12	$13.80