Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.45 / $36.53 / $64.09	Facility		$13.45	$36.53	$64.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.45 / $17.59 / $29.51	Professional		$13.45	$17.59	$29.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $12.13 / $12.13	Professional		$12.13	$12.13	$12.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.59 / $25.83 / $69.95	Facility		$14.59	$25.83	$69.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $9.99 / $40.67	Professional		$7.49	$9.99	$40.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $20.22 / $32.35	Facility		$13.80	$20.22	$32.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $44.48 / $62.69	Facility		$20.32	$44.48	$62.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $24.78 / $30.98	Professional		$12.53	$24.78	$30.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.09 / $26.29 / $72.63	Professional		$22.09	$26.29	$72.63
United Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $14.76 / $36.74	Professional		$11.86	$14.76	$36.74