Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $43.65 / $77.62	Facility		$6.03	$43.65	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.94 / $10.96	Professional		$6.03	$7.94	$10.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $52.48	Professional		$4.90	$4.90	$52.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $13.49 / $13.49	Facility		$7.59	$13.49	$13.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.88 / $3.89 / $7.59	Professional		$2.88	$3.89	$7.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.17 / $9.33 / $13.80	Facility		$6.17	$9.33	$13.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $6.92 / $10.72	Professional		$5.89	$6.92	$10.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.72 / $8.51 / $8.51	Professional		$3.72	$8.51	$8.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.71 / $11.48	Professional		$8.51	$8.71	$11.48
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.49 / $28.84	Professional		$10.00	$13.49	$28.84