Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$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 $5.50 / $10.96 / $18.20	Professional		$5.50	$10.96	$18.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.62 / $21.38 / $30.90	Facility		$5.62	$21.38	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $5.62 / $19.50	Professional		$5.62	$5.62	$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 / $24.55 / $32.36	Professional		$10.96	$24.55	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $204.17	Professional		$100.00	$100.00	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $15.49 / $23.99	Facility		$10.72	$15.49	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $38.90	Professional		$10.23	$14.45	$38.90