Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $42.66 / $208.93	Facility		$12.30	$42.66	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $11.22 / $25.70	Professional		$8.91	$11.22	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.12 / $13.49	Professional		$6.76	$9.12	$13.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.85 / $30.90	Facility		$12.02	$15.85	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $12.59 / $24.55	Professional		$6.76	$12.59	$24.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.41 / $8.71 / $19.50	Facility		$7.41	$8.71	$19.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $8.71 / $13.49	Professional		$8.71	$8.71	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $26.92 / $41.69	Facility		$13.49	$26.92	$41.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $16.60 / $20.42	Professional		$8.32	$16.60	$20.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $40.74	Professional		$14.79	$19.05	$40.74
United Facility/Professional Facility Modifier Low / Median / High Price $7.94 / $12.30 / $16.22	Facility		$7.94	$12.30	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $5.75 / $8.32 / $23.99	Professional		$5.75	$8.32	$23.99