Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.38 / $31.52 / $136.08	Facility		$11.38	$31.52	$136.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.38 / $14.35 / $28.77	Professional		$11.38	$14.35	$28.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.27 / $10.27 / $10.27	Professional		$10.27	$10.27	$10.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.35 / $21.86 / $59.20	Facility		$12.35	$21.86	$59.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $7.94 / $32.68	Professional		$5.95	$7.94	$32.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $17.11 / $27.38	Facility		$11.52	$17.11	$27.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $37.64 / $52.26	Facility		$17.09	$37.64	$52.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $20.65 / $25.81	Professional		$9.93	$20.65	$25.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.70 / $22.24 / $57.73	Professional		$18.70	$22.24	$57.73
United Facility/Professional Facility Modifier Low / Median / High Price $9.21 / $9.21 / $9.41	Facility		$9.21	$9.21	$9.41
United Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $13.16 / $31.26	Professional		$9.41	$13.16	$31.26