Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $69.18 / $208.93	Facility		$20.89	$69.18	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.88 / $39.81	Professional		$18.20	$21.88	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $16.98	Professional		$16.98	$16.98	$16.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $30.20 / $36.31	Facility		$17.78	$30.20	$36.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $19.95 / $42.66	Professional		$10.96	$19.95	$42.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $18.20 / $18.20	Facility		$18.20	$18.20	$18.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $53.70 / $83.18	Facility		$27.54	$53.70	$83.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $33.11 / $41.69	Professional		$12.59	$33.11	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $38.90 / $72.44	Professional		$30.20	$38.90	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $24.55 / $27.54	Facility		$12.30	$24.55	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $16.60 / $42.66	Professional		$11.48	$16.60	$42.66