Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.63 / $96.95 / $320.82	Facility		$19.63	$96.95	$320.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $17.53 / $19.63	Professional		$12.76	$17.53	$19.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $11.78 / $11.78	Professional		$11.78	$11.78	$11.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.17 / $25.08 / $67.92	Facility		$14.17	$25.08	$67.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.27 / $9.69 / $38.51	Professional		$7.27	$9.69	$38.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.76 / $19.63 / $31.41	Facility		$12.76	$19.63	$31.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $12.76 / $19.63	Professional		$12.76	$12.76	$19.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $43.19 / $60.62	Facility		$19.67	$43.19	$60.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $23.95 / $29.94	Professional		$12.07	$23.95	$29.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $25.52 / $134.44	Professional		$21.45	$25.52	$134.44
United Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $16.07 / $27.42	Professional		$10.80	$16.07	$27.42