Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $33.11 / $81.28	Facility		$19.50	$33.11	$81.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.95 / $33.11	Professional		$15.85	$19.95	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $12.59	Professional		$10.72	$10.72	$12.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $26.30 / $31.62	Facility		$15.85	$26.30	$31.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $17.78 / $37.15	Professional		$9.55	$17.78	$37.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $17.78 / $34.67	Facility		$15.49	$17.78	$34.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $23.99	Professional		$15.49	$15.49	$23.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $46.77 / $72.44	Facility		$23.99	$46.77	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $29.51 / $36.31	Professional		$10.96	$29.51	$36.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.88 / $63.10	Professional		$26.30	$33.88	$63.10
United Facility/Professional Facility Modifier Low / Median / High Price $10.72 / $21.88 / $23.99	Facility		$10.72	$21.88	$23.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.45 / $38.02	Professional		$10.00	$14.45	$38.02