Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $30.29 / $496.59	Facility		$11.25	$30.29	$496.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $15.34 / $30.28	Professional		$11.25	$15.34	$30.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.15 / $10.15 / $10.15	Professional		$10.15	$10.15	$10.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.20 / $21.60 / $58.51	Facility		$12.20	$21.60	$58.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $8.35 / $33.86	Professional		$6.26	$8.35	$33.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.57 / $16.91 / $27.06	Facility		$13.57	$16.91	$27.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $37.20 / $53.11	Facility		$16.77	$37.20	$53.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $20.65 / $25.81	Professional		$10.39	$20.65	$25.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $21.98 / $60.75	Professional		$18.48	$21.98	$60.75
United Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $13.23 / $23.62	Professional		$9.30	$13.23	$23.62