Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $33.04 / $856.99	Facility		$11.22	$33.04	$856.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.68 / $23.16	Professional		$11.22	$14.68	$23.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $10.11	Professional		$10.11	$10.11	$10.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.18 / $21.55 / $58.37	Facility		$12.18	$21.55	$58.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $8.33 / $33.79	Professional		$6.24	$8.33	$33.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $16.87 / $26.99	Facility		$11.25	$16.87	$26.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $37.11 / $52.29	Facility		$16.77	$37.11	$52.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $20.65 / $25.81	Professional		$10.39	$20.65	$25.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.43 / $21.93 / $60.61	Professional		$18.43	$21.93	$60.61
United Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $12.32 / $23.57	Professional		$9.27	$12.32	$23.57