Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $46.77 / $100.00	Facility		$15.85	$46.77	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $42.66 / $85.11	Professional		$17.78	$42.66	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $13.80 / $25.70	Professional		$11.48	$13.80	$25.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $30.90 / $38.90	Facility		$16.60	$30.90	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.79 / $28.18	Professional		$10.72	$14.79	$28.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $19.50 / $43.65	Facility		$17.38	$19.50	$43.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $19.50 / $30.20	Professional		$19.50	$19.50	$30.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $57.54 / $91.20	Facility		$30.20	$57.54	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $37.15 / $45.71	Professional		$8.51	$37.15	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $42.66 / $57.54	Professional		$33.11	$42.66	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $26.92 / $30.20	Facility		$10.00	$26.92	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $13.49 / $37.15	Professional		$8.51	$13.49	$37.15