Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.47 / $34.07 / $132.24	Facility		$12.47	$34.07	$132.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.47 / $16.23 / $18.75	Professional		$12.47	$16.23	$18.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $11.25 / $11.25	Professional		$11.25	$11.25	$11.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $23.96 / $64.88	Facility		$13.54	$23.96	$64.88
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.94 / $9.26 / $37.58	Professional		$6.94	$9.26	$37.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.79 / $18.75 / $30.00	Facility		$12.79	$18.75	$30.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.70 / $41.25 / $58.00	Facility		$18.70	$41.25	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $22.72 / $28.40	Professional		$11.61	$22.72	$28.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $24.38 / $67.40	Professional		$20.49	$24.38	$67.40
United Facility/Professional Professional Modifier Low / Median / High Price $11.01 / $13.70 / $34.07	Professional		$11.01	$13.70	$34.07