Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $36.31 / $67.61	Facility		$18.20	$36.31	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $18.20 / $36.31	Professional		$14.13	$18.20	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.51 / $8.51	Professional		$8.51	$8.51	$8.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $25.70 / $34.67	Facility		$13.18	$25.70	$34.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $24.55 / $45.71	Professional		$10.00	$24.55	$45.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $39.81 / $60.26	Facility		$19.95	$39.81	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.42 / $60.26	Professional		$10.00	$20.42	$60.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $28.18 / $154.88	Professional		$18.20	$28.18	$154.88
United Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $18.20 / $24.55	Facility		$16.98	$18.20	$24.55
United Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $14.13 / $31.62	Professional		$8.51	$14.13	$31.62