Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $44.67 / $190.55	Facility		$20.42	$44.67	$190.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $19.50 / $46.77	Professional		$14.13	$19.50	$46.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $15.14 / $30.90	Professional		$13.49	$15.14	$30.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $28.18 / $38.02	Facility		$14.45	$28.18	$38.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.98 / $44.67	Professional		$10.96	$16.98	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $15.14 / $31.62	Facility		$14.45	$15.14	$31.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $21.88	Professional		$14.45	$14.45	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $43.65 / $66.07	Facility		$21.88	$43.65	$66.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $26.92 / $33.88	Professional		$13.49	$26.92	$33.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $30.90 / $79.43	Professional		$23.99	$30.90	$79.43
United Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $19.95 / $26.92	Facility		$12.88	$19.95	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $15.49 / $39.81	Professional		$9.33	$15.49	$39.81