Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $21.88 / $34.67	Facility		$14.79	$21.88	$34.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $40.74	Professional		$21.88	$21.88	$40.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $21.88	Professional		$18.62	$21.88	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $25.70 / $75.86	Facility		$21.88	$25.70	$75.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $19.95 / $19.95	Professional		$12.59	$19.95	$19.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $16.60 / $24.55	Professional		$13.80	$16.60	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $42.66 / $60.26	Facility		$21.88	$42.66	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $23.99 / $35.48	Professional		$19.95	$23.99	$35.48