Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.10 / $43.10 / $164.50	Facility		$21.10	$43.10	$164.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.62 / $19.17 / $31.44	Professional		$14.62	$19.17	$31.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $13.19 / $14.66	Professional		$13.19	$13.19	$14.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.87 / $28.10 / $76.09	Facility		$15.87	$28.10	$76.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.14 / $10.86 / $44.08	Professional		$8.14	$10.86	$44.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.29 / $21.99 / $35.18	Facility		$14.29	$21.99	$35.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.29 / $14.29 / $21.99	Professional		$14.29	$14.29	$21.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.93 / $48.38 / $67.94	Facility		$21.93	$48.38	$67.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.60 / $26.85 / $33.56	Professional		$13.60	$26.85	$33.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $28.59 / $79.02	Professional		$24.03	$28.59	$79.02
United Facility/Professional Professional Modifier Low / Median / High Price $12.91 / $18.10 / $45.29	Professional		$12.91	$18.10	$45.29