Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $35.48 / $141.25	Facility		$17.78	$35.48	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $17.38 / $38.90	Professional		$12.88	$17.38	$38.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $28.18	Professional		$11.75	$11.75	$28.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $25.12 / $33.88	Facility		$12.88	$25.12	$33.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $11.22 / $35.48	Professional		$9.77	$11.22	$35.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Facility		$12.88	$12.88	$12.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $19.50	Professional		$12.88	$12.88	$19.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $38.90 / $60.26	Facility		$19.50	$38.90	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $23.99 / $30.20	Professional		$12.02	$23.99	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $28.18 / $38.02	Professional		$21.38	$28.18	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $17.78 / $23.44	Facility		$11.48	$17.78	$23.44
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.18 / $36.31	Professional		$8.32	$13.18	$36.31