Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $45.89 / $425.90	Facility		$16.94	$45.89	$425.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $22.20 / $45.58	Professional		$16.94	$22.20	$45.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $15.29 / $15.29	Professional		$15.29	$15.29	$15.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $28.16 / $88.16	Facility		$18.39	$28.16	$88.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $12.58 / $38.22	Professional		$9.43	$12.58	$38.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $25.48 / $40.77	Facility		$17.38	$25.48	$40.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $56.06 / $78.37	Facility		$25.48	$56.06	$78.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $30.98 / $38.72	Professional		$15.73	$30.98	$38.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.84 / $33.11 / $60.56	Professional		$27.84	$33.11	$60.56
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $14.77 / $35.60	Professional		$10.70	$14.77	$35.60