Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.20 / $47.66 / $138.10	Facility		$14.20	$47.66	$138.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.05 / $11.88 / $23.68	Professional		$10.05	$11.88	$23.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.62 / $7.94 / $9.01	Professional		$6.62	$7.94	$9.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.80 / $16.91 / $45.81	Facility		$9.80	$16.91	$45.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.90 / $9.80 / $25.97	Professional		$4.90	$9.80	$25.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.61 / $13.24 / $21.18	Facility		$8.61	$13.24	$21.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $8.61 / $13.24	Professional		$8.61	$8.61	$13.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.22 / $29.13 / $41.67	Facility		$13.22	$29.13	$41.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.50 / $16.11 / $20.14	Professional		$9.50	$16.11	$20.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $17.21 / $25.20	Professional		$14.47	$17.21	$25.20
United Facility/Professional Facility Modifier Low / Median / High Price $11.92 / $11.92 / $11.92	Facility		$11.92	$11.92	$11.92
United Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $9.49 / $18.97	Professional		$5.96	$9.49	$18.97