Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $48.88 / $143.50	Facility		$24.11	$48.88	$143.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $23.92 / $43.77	Professional		$17.82	$23.92	$43.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $16.07 / $16.07	Professional		$16.07	$16.07	$16.07
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $34.22 / $92.69	Facility		$19.32	$34.22	$92.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $13.23 / $53.66	Professional		$9.92	$13.23	$53.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.28 / $26.79 / $42.86	Facility		$18.28	$26.79	$42.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.77 / $58.94 / $82.57	Facility		$26.77	$58.94	$82.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $32.63 / $40.79	Professional		$16.50	$32.63	$40.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $34.83 / $96.20	Professional		$29.27	$34.83	$96.20
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $18.97 / $48.68	Professional		$15.00	$18.97	$48.68