Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.17 / $50.38 / $198.00	Facility		$16.17	$50.38	$198.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $15.02 / $19.38	Professional		$11.21	$15.02	$19.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $10.11	Professional		$10.11	$10.11	$10.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.16 / $21.53 / $58.30	Facility		$12.16	$21.53	$58.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $8.32 / $33.76	Professional		$6.24	$8.32	$33.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.95 / $16.85 / $26.96	Facility		$10.95	$16.85	$26.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $10.95 / $16.85	Professional		$10.95	$10.95	$16.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $37.07 / $52.29	Facility		$16.77	$37.07	$52.29
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 $18.41 / $21.91 / $60.53	Professional		$18.41	$21.91	$60.53
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $12.30 / $30.78	Professional		$7.08	$12.30	$30.78