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 $5.13 / $17.38 / $20.89	Professional		$5.13	$17.38	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.01 / $21.38 / $30.90	Facility		$5.01	$21.38	$30.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $5.01 / $19.50	Professional		$5.01	$5.01	$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 / $16.60 / $32.36	Professional		$10.96	$16.60	$32.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $144.54 / $190.55	Professional		$144.54	$144.54	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $13.18 / $23.99	Facility		$9.12	$13.18	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $14.45 / $31.62	Professional		$10.23	$14.45	$31.62