Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $4.59 / $13.04	Facility		$4.59	$4.59	$13.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $6.53 / $9.27	Professional		$4.59	$6.53	$9.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.71 / $7.91 / $8.18	Professional		$5.71	$7.91	$8.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.05 / $15.47 / $40.54	Facility		$11.05	$15.47	$40.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.90 / $9.19 / $17.64	Professional		$5.90	$9.19	$17.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.39 / $11.05 / $21.66	Facility		$9.39	$11.05	$21.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.39 / $9.39 / $9.39	Professional		$9.39	$9.39	$9.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.14 / $7.14 / $7.14	Facility		$7.14	$7.14	$7.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $5.21 / $15.06	Professional		$5.21	$5.21	$15.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $11.05 / $15.08	Professional		$8.40	$11.05	$15.08
United Facility/Professional Facility Modifier Low / Median / High Price $4.59 / $7.35 / $8.30	Facility		$4.59	$7.35	$8.30
United Facility/Professional Professional Modifier Low / Median / High Price $4.59 / $5.51 / $9.09	Professional		$4.59	$5.51	$9.09