Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $14.24 / $22.02	Professional		$11.99	$14.24	$22.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.73 / $19.73 / $19.73	Professional		$19.73	$19.73	$19.73
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.71 / $28.71 / $28.71	Facility		$28.71	$28.71	$28.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.17 / $21.52 / $46.00	Professional		$2.17	$21.52	$46.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2.44 / $18.62 / $46.29	Facility		$2.44	$18.62	$46.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.44 / $18.30 / $24.85	Professional		$2.44	$18.30	$24.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.77 / $18.77 / $24.64	Facility		$18.77	$18.77	$24.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $18.77 / $33.38	Professional		$15.95	$18.77	$33.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3.20 / $28.71 / $68.06	Professional		$3.20	$28.71	$68.06
United Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $14.17 / $27.88	Professional		$9.44	$14.17	$27.88