Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $30.29 / $105.00	Facility		$15.37	$30.29	$105.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $15.00 / $30.08	Professional		$11.11	$15.00	$30.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.02 / $10.02 / $10.02	Professional		$10.02	$10.02	$10.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.06 / $21.35 / $57.82	Facility		$12.06	$21.35	$57.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $8.25 / $33.50	Professional		$6.18	$8.25	$33.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.86 / $16.71 / $26.74	Facility		$10.86	$16.71	$26.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $10.86 / $16.71	Professional		$10.86	$10.86	$16.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $36.76 / $52.29	Facility		$16.77	$36.76	$52.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $20.23 / $25.30	Professional		$10.39	$20.23	$25.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.26 / $21.72 / $60.05	Professional		$18.26	$21.72	$60.05
United Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $12.21 / $30.36	Professional		$9.19	$12.21	$30.36