Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.26 / $36.58 / $190.08	Facility		$19.26	$36.58	$190.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.51 / $17.71 / $24.38	Professional		$13.51	$17.71	$24.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.19 / $12.19 / $12.19	Professional		$12.19	$12.19	$12.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.67 / $25.96 / $70.31	Facility		$14.67	$25.96	$70.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.53 / $10.03 / $40.72	Professional		$7.53	$10.03	$40.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.30 / $20.32 / $32.51	Facility		$16.30	$20.32	$32.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.32 / $44.70 / $62.69	Facility		$20.32	$44.70	$62.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $24.78 / $30.98	Professional		$12.53	$24.78	$30.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.20 / $26.42 / $73.00	Professional		$22.20	$26.42	$73.00
United Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $14.84 / $37.11	Professional		$11.18	$14.84	$37.11