Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $28.84 / $51.29	Facility		$13.80	$28.84	$51.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $18.20	Professional		$10.00	$12.88	$18.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.12 / $9.12 / $9.12	Professional		$9.12	$9.12	$9.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $19.50 / $26.30	Facility		$10.00	$19.50	$26.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.75 / $30.90	Professional		$7.59	$11.75	$30.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $12.02 / $12.02	Facility		$12.02	$12.02	$12.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $30.20 / $46.77	Facility		$15.14	$30.20	$46.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $18.62 / $23.44	Professional		$9.33	$18.62	$23.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $21.38 / $54.95	Professional		$16.60	$21.38	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $13.80 / $18.20	Facility		$8.91	$13.80	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $10.23 / $27.54	Professional		$6.46	$10.23	$27.54