Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.79 / $57.06 / $6,915.00	Facility		$19.79	$57.06	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.97 / $15.68 / $29.43	Professional		$11.97	$15.68	$29.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $10.80 / $10.80	Professional		$10.80	$10.80	$10.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $23.00 / $62.28	Facility		$12.99	$23.00	$62.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.66 / $8.89 / $36.06	Professional		$6.66	$8.89	$36.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.28 / $18.00 / $28.80	Facility		$12.28	$18.00	$28.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.05 / $39.60 / $56.37	Facility		$18.05	$39.60	$56.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.15 / $21.89 / $27.36	Professional		$11.15	$21.89	$27.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $23.40 / $64.67	Professional		$19.67	$23.40	$64.67
United Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $9.90 / $10.31	Facility		$9.90	$9.90	$10.31
United Facility/Professional Professional Modifier Low / Median / High Price $10.56 / $14.73 / $25.15	Professional		$10.56	$14.73	$25.15