Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.64 / $23.08 / $52.30	Facility		$20.64	$23.08	$52.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $20.64 / $27.16	Professional		$14.83	$20.64	$27.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.34 / $29.34 / $29.34	Professional		$29.34	$29.34	$29.34
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.93 / $27.11 / $62.02	Professional		$15.93	$27.11	$62.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.02 / $32.60 / $63.90	Facility		$30.02	$32.60	$63.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.02 / $30.02 / $30.02	Professional		$30.02	$30.02	$30.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $21.22 / $21.22	Facility		$12.60	$21.22	$21.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.04 / $18.04 / $40.32	Professional		$18.04	$18.04	$40.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $32.60 / $58.68	Professional		$24.78	$32.60	$58.68
United Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $15.59 / $31.84	Professional		$10.84	$15.59	$31.84