Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.21 / $30.29 / $133.69	Facility		$11.21	$30.29	$133.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.21 / $14.66 / $22.75	Professional		$11.21	$14.66	$22.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.11 / $10.11 / $10.11	Professional		$10.11	$10.11	$10.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.16 / $21.53 / $58.30	Facility		$12.16	$21.53	$58.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.24 / $8.32 / $33.06	Professional		$6.24	$8.32	$33.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $16.85 / $26.96	Facility		$12.89	$16.85	$26.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.77 / $37.07 / $52.29	Facility		$16.77	$37.07	$52.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $20.65 / $25.81	Professional		$10.39	$20.65	$25.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.41 / $21.91 / $145.90	Professional		$18.41	$21.91	$145.90
United Facility/Professional Facility Modifier Low / Median / High Price $15.17 / $15.17 / $20.84	Facility		$15.17	$15.17	$20.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $12.30 / $23.54	Professional		$7.58	$12.30	$23.54