Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.13 / $24.92 / $177.10	Facility		$9.13	$24.92	$177.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.13 / $11.95 / $13.73	Professional		$9.13	$11.95	$13.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.24 / $8.24 / $8.24	Professional		$8.24	$8.24	$8.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $17.54 / $47.51	Facility		$9.91	$17.54	$47.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $6.78 / $26.84	Professional		$5.08	$6.78	$26.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.54 / $13.73 / $21.97	Facility		$7.54	$13.73	$21.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.92 / $8.92 / $13.73	Professional		$8.92	$8.92	$13.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $30.21 / $42.84	Facility		$13.54	$30.21	$42.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $16.93 / $21.16	Professional		$8.40	$16.93	$21.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $17.85 / $130.90	Professional		$15.00	$17.85	$130.90
United Facility/Professional Professional Modifier Low / Median / High Price $8.05 / $11.30 / $28.28	Professional		$8.05	$11.30	$28.28