Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.83 / $29.15 / $105.49	Facility		$9.83	$29.15	$105.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.83 / $13.27 / $26.34	Professional		$9.83	$13.27	$26.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $8.86 / $8.86	Professional		$8.86	$8.86	$8.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.67 / $18.88 / $51.14	Facility		$10.67	$18.88	$51.14
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $7.30 / $29.64	Professional		$5.47	$7.30	$29.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $14.78 / $23.65	Facility		$9.61	$14.78	$23.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $14.78	Professional		$9.61	$9.61	$14.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.83 / $32.52 / $46.58	Facility		$14.83	$32.52	$46.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.17 / $18.17 / $22.71	Professional		$9.17	$18.17	$22.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $19.21 / $53.13	Professional		$16.14	$19.21	$53.13
United Facility/Professional Professional Modifier Low / Median / High Price $8.68 / $12.10 / $30.44	Professional		$8.68	$12.10	$30.44