Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $53.70 / $281.84	Facility		$15.49	$53.70	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $15.14 / $37.15	Professional		$12.02	$15.14	$37.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $11.75 / $11.75	Professional		$10.23	$11.75	$11.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $21.88 / $29.51	Facility		$10.96	$21.88	$29.51
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $13.18 / $34.67	Professional		$8.32	$13.18	$34.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.59 / $24.55	Facility		$10.96	$12.59	$24.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $16.98	Professional		$10.96	$10.96	$16.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $33.88 / $52.48	Facility		$16.98	$33.88	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $19.95 / $25.70	Professional		$10.47	$19.95	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.99 / $61.66	Professional		$18.62	$23.99	$61.66
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.49 / $20.42	Facility		$10.00	$15.49	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.48 / $30.90	Professional		$7.08	$11.48	$30.90