Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.77 / $53.21 / $113.30	Facility		$23.77	$53.21	$113.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $28.59 / $43.40	Professional		$21.44	$28.59	$43.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.44 / $21.44 / $21.44	Professional		$21.44	$21.44	$21.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.74 / $38.95 / $123.66	Facility		$23.74	$38.95	$123.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $14.30 / $56.73	Professional		$10.72	$14.30	$56.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.23 / $35.74 / $57.18	Facility		$23.23	$35.74	$57.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $23.23 / $23.23 / $35.74	Professional		$23.23	$23.23	$35.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.99 / $71.13 / $83.33	Facility		$33.99	$71.13	$83.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $43.37 / $54.21	Professional		$16.50	$43.37	$54.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $46.46 / $93.78	Professional		$39.04	$46.46	$93.78
United Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $21.49 / $75.05	Professional		$15.71	$21.49	$75.05