Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.00 / $61.34 / $211.40	Facility		$18.00	$61.34	$211.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.51 / $17.25 / $50.47	Professional		$14.51	$17.25	$50.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.61 / $11.61 / $11.61	Professional		$11.61	$11.61	$11.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.97 / $24.72 / $66.95	Facility		$13.97	$24.72	$66.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $9.56 / $37.96	Professional		$7.17	$9.56	$37.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.58 / $19.35 / $30.96	Facility		$12.58	$19.35	$30.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $12.58 / $12.58 / $19.35	Professional		$12.58	$12.58	$19.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $42.57 / $59.57	Facility		$19.35	$42.57	$59.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $23.54 / $29.43	Professional		$11.92	$23.54	$29.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.14 / $25.16 / $69.56	Professional		$21.14	$25.16	$69.56
United Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $13.71 / $27.05	Professional		$8.13	$13.71	$27.05