Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $41.69 / $204.17	Facility		$13.18	$41.69	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $12.59 / $28.84	Professional		$8.91	$12.59	$28.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.23 / $10.23	Professional		$8.71	$10.23	$10.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $18.62 / $25.12	Facility		$9.55	$18.62	$25.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $11.22 / $29.51	Professional		$7.24	$11.22	$29.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $9.77 / $21.38	Facility		$9.55	$9.77	$21.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $9.55 / $14.45	Professional		$9.55	$9.55	$14.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $28.84 / $44.67	Facility		$14.45	$28.84	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $17.78 / $22.39	Professional		$8.91	$17.78	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.89 / $52.48	Professional		$15.85	$20.89	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $13.18 / $17.38	Facility		$8.51	$13.18	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $10.00 / $26.92	Professional		$6.17	$10.00	$26.92