Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $97.72 / $97.72	Facility		$42.66	$97.72	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $10.96	Professional		$9.12	$9.12	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $21.38 / $30.90	Facility		$4.47	$21.38	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $4.47 / $18.20	Professional		$4.47	$4.47	$18.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $21.88 / $31.62	Facility		$14.13	$21.88	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $15.85 / $24.55	Professional		$13.80	$15.85	$24.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.17 / $28.18 / $66.07	Facility		$1.17	$28.18	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.85 / $32.36	Professional		$10.96	$15.85	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $144.54	Professional		$109.65	$109.65	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $14.13 / $23.99	Facility		$9.77	$14.13	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $12.88 / $27.54	Professional		$8.13	$12.88	$27.54