Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $10.00 / $31.62	Facility		$10.00	$10.00	$31.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $21.88	Professional		$10.00	$12.88	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.50 / $20.89	Professional		$19.05	$19.50	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $63.10 / $97.72	Facility		$26.30	$63.10	$97.72
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $21.38 / $33.88	Professional		$13.80	$21.38	$33.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $16.60 / $45.71	Facility		$16.60	$16.60	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.02 / $28.84	Professional		$12.02	$12.02	$28.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $26.30 / $36.31	Professional		$18.62	$26.30	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $17.38 / $19.50	Facility		$9.55	$17.38	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $12.88 / $25.12	Professional		$8.71	$12.88	$25.12