Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $27.62 / $57.96	Facility		$10.19	$27.62	$57.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $13.36 / $26.74	Professional		$10.19	$13.36	$26.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.19 / $9.19 / $9.19	Professional		$9.19	$9.19	$9.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.06 / $19.57 / $53.01	Facility		$11.06	$19.57	$53.01
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.67 / $7.57 / $30.06	Professional		$5.67	$7.57	$30.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.45 / $15.32 / $24.51	Facility		$10.45	$15.32	$24.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.16 / $33.70 / $48.20	Facility		$15.16	$33.70	$48.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.47 / $18.59 / $23.24	Professional		$9.47	$18.59	$23.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.73 / $19.92 / $55.06	Professional		$16.73	$19.92	$55.06
United Facility/Professional Facility Modifier Low / Median / High Price $8.43 / $8.77 / $19.14	Facility		$8.43	$8.77	$19.14
United Facility/Professional Professional Modifier Low / Median / High Price $8.43 / $12.55 / $27.99	Professional		$8.43	$12.55	$27.99