Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.35 / $51.80 / $282.00	Facility		$16.35	$51.80	$282.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $14.85 / $30.88	Professional		$12.59	$14.85	$30.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $10.22 / $10.22	Professional		$10.22	$10.22	$10.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.29 / $21.76 / $58.92	Facility		$12.29	$21.76	$58.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $8.41 / $34.13	Professional		$6.30	$8.41	$34.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.07 / $17.03 / $27.25	Facility		$11.07	$17.03	$27.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.07 / $11.07 / $17.03	Professional		$11.07	$11.07	$17.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.09 / $37.47 / $53.11	Facility		$17.09	$37.47	$53.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $20.65 / $25.81	Professional		$12.07	$20.65	$25.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.61 / $22.14 / $61.20	Professional		$18.61	$22.14	$61.20
United Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $15.33 / $21.07	Facility		$15.33	$15.33	$21.07
United Facility/Professional Professional Modifier Low / Median / High Price $7.15 / $12.44 / $30.95	Professional		$7.15	$12.44	$30.95