Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $48.98 / $125.89	Facility		$15.14	$48.98	$125.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $30.90	Professional		$10.96	$15.14	$30.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $11.75 / $11.75	Professional		$10.00	$11.75	$11.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $21.38 / $28.84	Facility		$10.96	$21.38	$28.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.88 / $33.88	Professional		$8.32	$12.88	$33.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.96 / $12.88 / $24.55	Facility		$10.96	$12.88	$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 $16.60 / $33.88 / $52.48	Facility		$16.60	$33.88	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $20.42 / $25.70	Professional		$10.47	$20.42	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.99 / $60.26	Professional		$18.62	$23.99	$60.26
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $15.14 / $20.42	Facility		$10.00	$15.14	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $11.22 / $30.90	Professional		$7.08	$11.22	$30.90