Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.62 / $74.72 / $428.03	Facility		$22.62	$74.72	$428.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.67 / $17.94 / $41.23	Professional		$15.67	$17.94	$41.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $14.14 / $14.14	Professional		$13.46	$14.14	$14.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $27.14 / $81.55	Facility		$16.22	$27.14	$81.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.32 / $9.77 / $40.20	Professional		$7.32	$9.77	$40.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.32 / $23.57 / $37.71	Facility		$15.32	$23.57	$37.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $23.57	Professional		$15.32	$15.32	$23.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.54 / $51.85 / $65.84	Facility		$23.54	$51.85	$65.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.22 / $28.91 / $36.14	Professional		$12.22	$28.91	$36.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.76 / $30.64 / $71.11	Professional		$25.76	$30.64	$71.11
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $14.45 / $27.65	Professional		$11.22	$14.45	$27.65