Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $31.62 / $128.82	Facility		$18.62	$31.62	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $25.70	Professional		$15.14	$18.20	$25.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $13.80 / $14.45	Professional		$13.80	$13.80	$14.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $25.12 / $30.20	Facility		$15.14	$25.12	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $16.98 / $35.48	Professional		$9.12	$16.98	$35.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $15.49 / $15.49	Facility		$15.49	$15.49	$15.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $44.67 / $69.18	Facility		$22.91	$44.67	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $28.18 / $35.48	Professional		$10.47	$28.18	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $60.26	Professional		$25.12	$32.36	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $20.89 / $22.91	Facility		$10.23	$20.89	$22.91
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $13.80 / $36.31	Professional		$9.55	$13.80	$36.31