Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.19 / $39.61 / $205.80	Facility		$12.19	$39.61	$205.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $9.59 / $13.25	Professional		$7.02	$9.59	$13.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.95 / $7.95 / $9.02	Professional		$7.95	$7.95	$9.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.57 / $16.93 / $45.85	Facility		$9.57	$16.93	$45.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $6.54 / $23.51	Professional		$4.90	$6.54	$23.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.28 / $13.25 / $21.20	Facility		$7.28	$13.25	$21.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $8.61 / $13.25	Professional		$8.61	$8.61	$13.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $29.15 / $41.67	Facility		$13.22	$29.15	$41.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.64 / $16.11 / $20.14	Professional		$7.64	$16.11	$20.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.48 / $17.23 / $24.31	Professional		$14.48	$17.23	$24.31
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $10.85 / $24.08	Professional		$6.76	$10.85	$24.08