Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $41.69 / $173.78	Facility		$11.22	$41.69	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $12.02 / $23.44	Professional		$7.94	$12.02	$23.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $6.92 / $16.98	Professional		$5.37	$6.92	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $16.22 / $20.89	Facility		$8.13	$16.22	$20.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $8.13 / $17.78	Professional		$5.37	$8.13	$17.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $8.13 / $18.20	Facility		$7.08	$8.13	$18.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $8.13 / $12.59	Professional		$8.13	$8.13	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $25.12 / $38.90	Facility		$13.18	$25.12	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $14.45 / $19.05	Professional		$5.62	$14.45	$19.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $14.45 / $23.99	Professional		$13.80	$14.45	$23.99
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $11.22 / $13.49	Facility		$6.92	$11.22	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $7.59 / $20.89	Professional		$5.25	$7.59	$20.89