Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $46.77 / $85.11	Facility		$18.62	$46.77	$85.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $22.91 / $48.98	Professional		$15.85	$22.91	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $30.90 / $43.65	Facility		$16.60	$30.90	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $18.62 / $38.02	Professional		$12.59	$18.62	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $51.29 / $77.62	Facility		$25.70	$51.29	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $30.90 / $38.90	Professional		$15.85	$30.90	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $36.31 / $60.26	Professional		$27.54	$36.31	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $22.91 / $30.90	Facility		$14.79	$22.91	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.79 / $36.31	Professional		$10.72	$14.79	$36.31