Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $39.81 / $177.83	Facility		$12.02	$39.81	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $10.00 / $25.70	Professional		$7.08	$10.00	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $9.12 / $9.12	Professional		$7.94	$9.12	$9.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $16.98 / $22.91	Facility		$8.71	$16.98	$22.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $6.61 / $22.39	Professional		$6.61	$6.61	$22.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $8.71 / $19.05	Facility		$7.24	$8.71	$19.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $13.18	Professional		$8.71	$8.71	$13.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $26.30 / $40.74	Facility		$14.79	$26.30	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $16.22 / $19.95	Professional		$7.59	$16.22	$19.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $18.62 / $25.12	Professional		$14.45	$18.62	$25.12
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $12.02 / $15.85	Facility		$7.59	$12.02	$15.85
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.12 / $23.99	Professional		$5.62	$9.12	$23.99