Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.17 / $53.30 / $290.72	Facility		$28.17	$53.30	$290.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.52 / $25.57 / $47.97	Professional		$19.52	$25.57	$47.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.61 / $17.61 / $17.61	Professional		$17.61	$17.61	$17.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.42 / $35.65 / $53.35	Facility		$15.42	$35.65	$53.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.86 / $14.49 / $57.58	Professional		$10.86	$14.49	$57.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.07 / $29.35 / $46.96	Facility		$19.07	$29.35	$46.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $19.07 / $19.07 / $29.35	Professional		$19.07	$19.07	$29.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $64.56 / $90.90	Facility		$29.35	$64.56	$90.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.76 / $33.86 / $66.56	Professional		$21.76	$33.86	$66.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.07 / $38.15 / $105.43	Professional		$32.07	$38.15	$105.43
United Facility/Professional Facility Modifier Low / Median / High Price $26.42 / $26.42 / $26.42	Facility		$26.42	$26.42	$26.42
United Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $21.43 / $41.00	Professional		$16.14	$21.43	$41.00