Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.90 / $32.07 / $181.30	Facility		$11.90	$32.07	$181.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $16.00 / $29.28	Professional		$11.90	$16.00	$29.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $10.74 / $10.74	Professional		$10.74	$10.74	$10.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.92 / $22.87 / $61.93	Facility		$12.92	$22.87	$61.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.63 / $8.84 / $35.89	Professional		$6.63	$8.84	$35.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.21 / $17.89 / $28.64	Facility		$12.21	$17.89	$28.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $39.38 / $55.56	Facility		$17.73	$39.38	$55.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $21.89 / $27.36	Professional		$11.00	$21.89	$27.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $23.27 / $64.34	Professional		$19.55	$23.27	$64.34
United Facility/Professional Professional Modifier Low / Median / High Price $7.52 / $12.68 / $31.33	Professional		$7.52	$12.68	$31.33