Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.18 / $52.48 / $223.87	Facility		$13.18	$52.48	$223.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $12.88 / $35.48	Professional		$10.00	$12.88	$35.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $10.00 / $11.22	Professional		$9.55	$10.00	$11.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $17.38 / $21.38	Facility		$10.47	$17.38	$21.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $11.75 / $25.70	Professional		$6.46	$11.75	$25.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $10.47 / $23.44	Facility		$10.47	$10.47	$23.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $10.47 / $16.22	Professional		$10.47	$10.47	$16.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $31.62 / $48.98	Facility		$16.22	$31.62	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $18.62 / $23.99	Professional		$7.41	$18.62	$23.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $22.91 / $42.66	Professional		$17.38	$22.91	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $14.45 / $16.22	Facility		$7.24	$14.45	$16.22
United Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $9.55 / $25.70	Professional		$6.76	$9.55	$25.70