Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.84 / $37.42 / $65.97	Facility		$13.84	$37.42	$65.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.84 / $18.10 / $20.81	Professional		$13.84	$18.10	$20.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $12.49 / $12.49	Professional		$12.49	$12.49	$12.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.02 / $26.59 / $72.00	Facility		$15.02	$26.59	$72.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $10.28 / $40.83	Professional		$7.71	$10.28	$40.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $20.81 / $33.29	Facility		$16.89	$20.81	$33.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $45.78 / $63.74	Facility		$20.64	$45.78	$63.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.83 / $25.19 / $31.49	Professional		$12.83	$25.19	$31.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.74 / $27.05 / $39.61	Professional		$22.74	$27.05	$39.61
United Facility/Professional Professional Modifier Low / Median / High Price $12.49 / $14.70 / $29.81	Professional		$12.49	$14.70	$29.81