Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.69 / $43.46 / $190.08	Facility		$12.69	$43.46	$190.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.11 / $11.93 / $24.52	Professional		$9.11	$11.93	$24.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $8.23 / $8.23	Professional		$8.23	$8.23	$8.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.90 / $17.52 / $47.44	Facility		$9.90	$17.52	$47.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.07 / $6.77 / $27.49	Professional		$5.07	$6.77	$27.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $13.71 / $21.94	Facility		$8.91	$13.71	$21.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $13.71	Professional		$8.91	$8.91	$13.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $30.16 / $42.49	Facility		$13.54	$30.16	$42.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $16.52 / $20.65	Professional		$8.40	$16.52	$20.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.98 / $17.82 / $49.29	Professional		$14.98	$17.82	$49.29
United Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $11.22 / $24.91	Professional		$5.76	$11.22	$24.91