Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.03 / $39.74 / $252.75	Facility		$8.03	$39.74	$252.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.03 / $10.78 / $21.00	Professional		$8.03	$10.78	$21.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.25 / $7.25 / $7.25	Professional		$7.25	$7.25	$7.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.02 / $13.18 / $41.83	Facility		$8.02	$13.18	$41.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.63 / $4.84 / $16.07	Professional		$3.63	$4.84	$16.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.86 / $12.09 / $19.34	Facility		$7.86	$12.09	$19.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.86 / $7.86 / $12.09	Professional		$7.86	$7.86	$12.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.93 / $26.60 / $37.63	Facility		$11.93	$26.60	$37.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $14.87 / $18.59	Professional		$13.63	$14.87	$18.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.90 / $18.21 / $123.00	Professional		$13.90	$18.21	$123.00
United Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $7.25 / $12.33	Professional		$5.08	$7.25	$12.33