Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.07 / $43.65 / $76.65	Facility		$16.07	$43.65	$76.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.07 / $21.61 / $26.60	Professional		$16.07	$21.61	$26.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $14.51 / $14.51	Professional		$14.51	$14.51	$14.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.45 / $30.89 / $83.66	Facility		$17.45	$30.89	$83.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.94 / $11.94 / $48.47	Professional		$8.94	$11.94	$48.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.13 / $24.18 / $38.69	Facility		$16.13	$24.18	$38.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.19 / $53.20 / $74.20	Facility		$24.19	$53.20	$74.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $18.89 / $32.54	Professional		$14.97	$18.89	$32.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $31.43 / $86.90	Professional		$26.42	$31.43	$86.90
United Facility/Professional Facility Modifier Low / Median / High Price $21.76 / $21.76 / $29.93	Facility		$21.76	$21.76	$29.93
United Facility/Professional Professional Modifier Low / Median / High Price $14.00 / $17.66 / $43.94	Professional		$14.00	$17.66	$43.94