Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.98 / $23.98 / $30.84	Facility		$23.98	$23.98	$30.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $25.75 / $31.55	Professional		$19.38	$25.75	$31.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.57 / $22.57 / $24.62	Professional		$22.57	$22.57	$24.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.22 / $31.49 / $72.03	Professional		$17.22	$31.49	$72.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.04 / $32.44 / $70.06	Facility		$32.04	$32.44	$70.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.44 / $32.44 / $32.44	Professional		$32.44	$32.44	$32.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.51 / $26.66 / $26.66	Facility		$22.51	$26.66	$26.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $22.66 / $43.88	Professional		$22.66	$22.66	$43.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.78 / $37.86 / $68.17	Professional		$28.78	$37.86	$68.17
United Facility/Professional Professional Modifier Low / Median / High Price $12.60 / $18.64 / $31.19	Professional		$12.60	$18.64	$31.19