Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $34.46 / $169.65	Facility		$12.62	$34.46	$169.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.62 / $16.86 / $33.90	Professional		$12.62	$16.86	$33.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $11.38 / $11.38	Professional		$11.38	$11.38	$11.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.69 / $24.23 / $65.64	Facility		$13.69	$24.23	$65.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $9.36 / $38.02	Professional		$7.02	$9.36	$38.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.94 / $18.97 / $30.35	Facility		$12.94	$18.97	$30.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.03 / $41.73 / $58.52	Facility		$19.03	$41.73	$58.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $23.13 / $28.91	Professional		$11.76	$23.13	$28.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.73 / $24.66 / $68.18	Professional		$20.73	$24.66	$68.18
United Facility/Professional Facility Modifier Low / Median / High Price $17.07 / $17.07 / $17.07	Facility		$17.07	$17.07	$17.07
United Facility/Professional Professional Modifier Low / Median / High Price $10.43 / $12.95 / $39.07	Professional		$10.43	$12.95	$39.07