Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $104.71	Facility		$42.66	$42.66	$104.71
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 $6.17 / $17.38 / $20.89	Professional		$6.17	$17.38	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.03 / $21.38 / $30.90	Facility		$6.03	$21.38	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.03 / $19.50	Professional		$6.03	$6.03	$19.50
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 / $16.60 / $32.36	Professional		$10.96	$16.60	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $234.42	Professional		$177.83	$177.83	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $14.79 / $23.99	Facility		$10.23	$14.79	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $36.31	Professional		$10.23	$14.45	$36.31