Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.66 / $24.00 / $1,087.80	Facility		$8.66	$24.00	$1,087.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.66 / $11.82 / $94.56	Professional		$8.66	$11.82	$94.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.82 / $7.82 / $7.82	Professional		$7.82	$7.82	$7.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.41 / $16.64 / $45.08	Facility		$9.41	$16.64	$45.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.82 / $6.43 / $26.11	Professional		$4.82	$6.43	$26.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.46 / $13.03 / $20.85	Facility		$10.46	$13.03	$20.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.90 / $28.67 / $40.85	Facility		$12.90	$28.67	$40.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.10 / $15.69 / $19.61	Professional		$8.10	$15.69	$19.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $16.94 / $46.81	Professional		$14.24	$16.94	$46.81
United Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $9.23 / $18.20	Professional		$5.47	$9.23	$18.20