Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $42.66 / $42.66	Facility		$15.85	$42.66	$42.66
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 $4.90 / $10.72 / $10.96	Professional		$4.90	$10.72	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.90 / $21.38 / $30.90	Facility		$4.90	$21.38	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $4.90 / $18.20	Professional		$4.90	$4.90	$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 / $22.39 / $32.36	Professional		$10.96	$22.39	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $158.49	Professional		$120.23	$120.23	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $8.71 / $13.18 / $23.99	Facility		$8.71	$13.18	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $13.80 / $30.20	Professional		$10.00	$13.80	$30.20