Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $33.88 / $257.04	Facility		$18.62	$33.88	$257.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $20.89 / $51.29	Professional		$16.22	$20.89	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $16.60	Professional		$15.85	$15.85	$16.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $28.84 / $35.48	Facility		$17.38	$28.84	$35.48
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $19.50 / $38.90	Professional		$10.72	$19.50	$38.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $17.38 / $17.38	Facility		$17.38	$17.38	$17.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $52.48 / $81.28	Facility		$26.92	$52.48	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $32.36 / $40.74	Professional		$12.30	$32.36	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $64.57	Professional		$28.84	$38.02	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $23.99 / $26.92	Facility		$12.02	$23.99	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $15.49 / $38.02	Professional		$11.22	$15.49	$38.02