Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $32.36 / $208.93	Facility		$15.85	$32.36	$208.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $25.12	Professional		$10.96	$15.14	$25.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $12.30 / $12.30	Professional		$11.75	$12.30	$12.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $22.39 / $30.20	Facility		$11.48	$22.39	$30.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.49 / $35.48	Professional		$8.71	$13.49	$35.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $35.48 / $53.70	Facility		$17.78	$35.48	$53.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $21.38 / $26.92	Professional		$10.96	$21.38	$26.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $25.12 / $63.10	Professional		$19.50	$25.12	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $15.85 / $21.88	Facility		$10.47	$15.85	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $11.75 / $32.36	Professional		$7.41	$11.75	$32.36