Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $45.00 / $80.98	Facility		$16.98	$45.00	$80.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.23 / $30.66	Professional		$16.98	$22.23	$30.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.33 / $15.33 / $15.33	Professional		$15.33	$15.33	$15.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $32.64 / $88.40	Facility		$18.44	$32.64	$88.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.26 / $12.35 / $50.33	Professional		$9.26	$12.35	$50.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.04 / $25.55 / $40.88	Facility		$17.04	$25.55	$40.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $56.21 / $78.37	Facility		$25.48	$56.21	$78.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $30.98 / $38.72	Professional		$15.43	$30.98	$38.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.92 / $33.22 / $89.85	Professional		$27.92	$33.22	$89.85
United Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $18.26 / $46.68	Professional		$12.00	$18.26	$46.68