Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.95 / $58.34 / $107.54	Facility		$14.95	$58.34	$107.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.82 / $13.38 / $22.22	Professional		$11.82	$13.38	$22.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.25 / $11.11 / $11.11	Professional		$9.25	$11.11	$11.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $20.18 / $64.08	Facility		$12.30	$20.18	$64.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.55 / $7.41 / $28.90	Professional		$5.55	$7.41	$28.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.98 / $18.52 / $29.63	Facility		$11.98	$18.52	$29.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $12.04 / $18.52	Professional		$12.04	$12.04	$18.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $40.74 / $57.47	Facility		$18.38	$40.74	$57.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.50 / $22.72 / $28.40	Professional		$8.50	$22.72	$28.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.23 / $24.08 / $366.65	Professional		$20.23	$24.08	$366.65
United Facility/Professional Professional Modifier Low / Median / High Price $7.98 / $11.12 / $23.15	Professional		$7.98	$11.12	$23.15