Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $39.81 / $97.72	Facility		$10.23	$39.81	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $23.99 / $34.67	Professional		$16.98	$23.99	$34.67
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 $11.75 / $31.62 / $38.90	Facility		$11.75	$31.62	$38.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $11.75 / $29.51	Professional		$9.55	$11.75	$29.51
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $40.74 / $63.10	Facility		$34.67	$40.74	$63.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $38.02 / $39.81	Professional		$34.67	$38.02	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $57.54 / $89.13	Facility		$28.84	$57.54	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $26.92 / $75.86	Professional		$13.18	$26.92	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $32.36 / $229.09	Professional		$14.79	$32.36	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $26.30 / $29.51	Facility		$17.38	$26.30	$29.51
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $13.18 / $38.02	Professional		$6.17	$13.18	$38.02