Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $29.51 / $204.17	Facility		$14.13	$29.51	$204.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.13 / $33.11	Professional		$10.00	$14.13	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.72 / $10.72	Professional		$10.47	$10.72	$10.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $19.95 / $26.92	Facility		$10.23	$19.95	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $11.48 / $26.30	Professional		$7.76	$11.48	$26.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.59 / $12.59 / $12.59	Facility		$12.59	$12.59	$12.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $30.90 / $47.86	Facility		$15.49	$30.90	$47.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $10.23 / $20.89	Professional		$8.32	$10.23	$20.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.39 / $46.77	Professional		$16.98	$22.39	$46.77
United Facility/Professional Facility Modifier Low / Median / High Price $9.12 / $14.13 / $18.62	Facility		$9.12	$14.13	$18.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $9.33 / $31.62	Professional		$6.61	$9.33	$31.62