Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $177.28 / $561.60	Facility		$12.40	$177.28	$561.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.66 / $13.38 / $17.71	Professional		$11.66	$13.38	$17.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $11.18 / $11.18	Professional		$11.18	$11.18	$11.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $23.81 / $64.48	Facility		$16.60	$23.81	$64.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $16.77 / $28.89	Professional		$5.59	$16.77	$28.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $18.64 / $29.82	Facility		$11.22	$18.64	$29.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.12 / $12.12 / $18.64	Professional		$12.12	$12.12	$18.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $41.01 / $57.47	Facility		$18.70	$41.01	$57.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $22.72 / $28.40	Professional		$8.50	$22.72	$28.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.98 / $21.44 / $28.08	Professional		$20.98	$21.44	$28.08
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $11.18 / $19.01	Professional		$7.83	$11.18	$19.01