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 $4.37 / $6.17 / $10.96	Professional		$4.37	$6.17	$10.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4.17 / $21.38 / $30.90	Facility		$4.17	$21.38	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $4.17 / $19.50	Professional		$4.17	$4.17	$19.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $23.99	Professional		$13.80	$13.80	$23.99
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 / $23.99 / $32.36	Professional		$10.96	$23.99	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $213.80	Professional		$162.18	$162.18	$213.80
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 $10.23 / $14.45 / $34.67	Professional		$10.23	$14.45	$34.67