Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.28 / $31.06 / $127.81	Facility		$15.28	$31.06	$127.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $16.61 / $24.63	Professional		$13.79	$16.61	$24.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $13.79 / $13.79	Professional		$13.79	$13.79	$13.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $25.05 / $79.51	Facility		$15.26	$25.05	$79.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $9.19 / $36.65	Professional		$6.89	$9.19	$36.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $22.98 / $36.77	Facility		$15.33	$22.98	$36.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.40 / $50.56 / $63.95	Facility		$21.40	$50.56	$63.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $28.08 / $35.10	Professional		$10.44	$28.08	$35.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.11 / $29.87 / $60.61	Professional		$25.11	$29.87	$60.61
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $13.81 / $23.57	Professional		$9.90	$13.81	$23.57