Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.55 / $42.21 / $288.39	Facility		$20.55	$42.21	$288.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $19.27 / $31.04	Professional		$14.24	$19.27	$31.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $12.85 / $12.85	Professional		$12.85	$12.85	$12.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.45 / $27.35 / $74.08	Facility		$15.45	$27.35	$74.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $10.57 / $42.91	Professional		$7.92	$10.57	$42.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.19 / $21.41 / $34.26	Facility		$17.19	$21.41	$34.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.28 / $47.10 / $65.84	Facility		$21.28	$47.10	$65.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.29 / $26.02 / $32.53	Professional		$13.29	$26.02	$32.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $27.83 / $76.94	Professional		$23.40	$27.83	$76.94
United Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $15.64 / $39.11	Professional		$11.00	$15.64	$39.11