Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $63.70 / $112.00	Facility		$23.49	$63.70	$112.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.49 / $31.56 / $57.76	Professional		$23.49	$31.56	$57.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.20 / $21.20 / $21.20	Professional		$21.20	$21.20	$21.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.50 / $45.13 / $122.24	Facility		$25.50	$45.13	$122.24
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $17.45 / $70.80	Professional		$13.08	$17.45	$70.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.11 / $35.33 / $56.53	Facility		$24.11	$35.33	$56.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $77.73 / $108.68	Facility		$35.15	$77.73	$108.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.85 / $42.95 / $53.69	Professional		$21.85	$42.95	$53.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.61 / $45.93 / $126.96	Professional		$38.61	$45.93	$126.96
United Facility/Professional Professional Modifier Low / Median / High Price $14.84 / $25.80 / $49.37	Professional		$14.84	$25.80	$49.37