Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.98 / $40.54 / $71.39	Facility		$14.98	$40.54	$71.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $19.59 / $40.28	Professional		$14.98	$19.59	$40.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $13.51 / $13.51	Professional		$13.51	$13.51	$13.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $28.77 / $77.92	Facility		$16.25	$28.77	$77.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.34 / $11.12 / $45.11	Professional		$8.34	$11.12	$45.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $22.52 / $36.03	Facility		$15.37	$22.52	$36.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.57 / $49.54 / $68.95	Facility		$22.57	$49.54	$68.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $27.26 / $34.08	Professional		$13.90	$27.26	$34.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.61 / $29.28 / $80.88	Professional		$24.61	$29.28	$80.88
United Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $18.43 / $47.29	Professional		$13.21	$18.43	$47.29