Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.75 / $76.81 / $390.89	Facility		$20.75	$76.81	$390.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $9.75 / $25.55	Professional		$8.69	$9.75	$25.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $8.02 / $9.11	Professional		$6.70	$8.02	$9.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.92 / $17.11 / $46.33	Facility		$9.92	$17.11	$46.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.78 / $9.92 / $28.00	Professional		$6.78	$9.92	$28.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.41 / $13.39 / $21.42	Facility		$8.41	$13.39	$21.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $8.69 / $13.39	Professional		$8.69	$8.69	$13.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.61 / $29.46 / $58.00	Facility		$11.61	$29.46	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.64 / $15.28 / $20.65	Professional		$6.64	$15.28	$20.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.63 / $17.41 / $48.14	Professional		$14.63	$17.41	$48.14
United Facility/Professional Professional Modifier Low / Median / High Price $7.14 / $9.78 / $24.46	Professional		$7.14	$9.78	$24.46