Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $36.31 / $165.96	Facility		$12.88	$36.31	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.60 / $85.11	Professional		$10.00	$16.60	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $12.30 / $12.30	Professional		$12.30	$12.30	$12.30
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $21.38 / $26.92	Facility		$12.30	$21.38	$26.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $11.22 / $20.89	Professional		$7.94	$11.22	$20.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.42 / $39.81 / $61.66	Facility		$20.42	$39.81	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $23.44 / $30.90	Professional		$6.03	$23.44	$30.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.84 / $38.90	Professional		$22.39	$28.84	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $18.62 / $20.42	Facility		$7.59	$18.62	$20.42
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $8.51 / $26.30	Professional		$6.17	$8.51	$26.30