Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.46 / $36.53 / $282.80	Facility		$13.46	$36.53	$282.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $17.64 / $20.00	Professional		$13.46	$17.64	$20.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Professional		$12.14	$12.14	$12.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.61 / $25.86 / $70.03	Facility		$14.61	$25.86	$70.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $9.99 / $40.54	Professional		$7.49	$9.99	$40.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.81 / $20.23 / $32.38	Facility		$13.81	$20.23	$32.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $44.53 / $62.69	Facility		$20.32	$44.53	$62.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $24.78 / $30.98	Professional		$12.53	$24.78	$30.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.12 / $26.31 / $72.72	Professional		$22.12	$26.31	$72.72
United Facility/Professional Professional Modifier Low / Median / High Price $11.13 / $16.66 / $36.78	Professional		$11.13	$16.66	$36.78