Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $84.14 / $428.33	Facility		$21.13	$84.14	$428.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.17 / $16.95 / $22.97	Professional		$12.17	$16.95	$22.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.78 / $13.78 / $13.78	Professional		$13.78	$13.78	$13.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.26 / $25.03 / $79.48	Facility		$15.26	$25.03	$79.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.89 / $9.19 / $30.55	Professional		$6.89	$9.19	$30.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.93 / $22.97 / $36.75	Facility		$14.93	$22.97	$36.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $14.93 / $22.97	Professional		$14.93	$14.93	$22.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $50.53 / $63.95	Facility		$22.90	$50.53	$63.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $28.08 / $35.10	Professional		$26.43	$28.08	$35.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $34.61 / $92.00	Professional		$26.42	$34.61	$92.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $13.78 / $23.43	Professional		$9.65	$13.78	$23.43