Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.40 / $17.67 / $34.35	Facility		$12.40	$17.67	$34.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $13.48 / $17.67	Professional		$11.18	$13.48	$17.67
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 $12.38 / $20.32 / $64.48	Facility		$12.38	$20.32	$64.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.59 / $7.46 / $24.79	Professional		$5.59	$7.46	$24.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.64 / $18.64 / $29.82	Facility		$18.64	$18.64	$29.82
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 $21.48 / $22.72 / $28.40	Professional		$21.48	$22.72	$28.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $28.08 / $285.00	Professional		$21.44	$28.08	$285.00
United Facility/Professional Professional Modifier Low / Median / High Price $7.83 / $11.18 / $18.64	Professional		$7.83	$11.18	$18.64