Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $45.43 / $232.31	Facility		$22.73	$45.43	$232.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.79 / $22.01 / $39.04	Professional		$16.79	$22.01	$39.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $15.15 / $15.15	Professional		$15.15	$15.15	$15.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.23 / $32.26 / $87.37	Facility		$18.23	$32.26	$87.37
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.35 / $12.47 / $50.61	Professional		$9.35	$12.47	$50.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.23 / $25.25 / $40.40	Facility		$17.23	$25.25	$40.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.15 / $55.55 / $78.37	Facility		$25.15	$55.55	$78.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.58 / $30.98 / $38.72	Professional		$15.58	$30.98	$38.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.59 / $32.83 / $90.73	Professional		$27.59	$32.83	$90.73
United Facility/Professional Facility Modifier Low / Median / High Price $22.73 / $22.73 / $22.73	Facility		$22.73	$22.73	$22.73
United Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $20.78 / $45.88	Professional		$13.89	$20.78	$45.88