Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $22.91 / $47.86	Professional		$15.14	$22.91	$47.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $30.20 / $38.02	Professional		$18.62	$30.20	$38.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $112.20 / $134.90	Facility		$37.15	$112.20	$134.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $30.20 / $45.71	Professional		$19.05	$30.20	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Facility		$30.90	$30.90	$30.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $30.90	Professional		$30.90	$30.90	$30.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $23.99 / $57.54	Facility		$23.99	$23.99	$57.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $17.78 / $41.69	Professional		$17.78	$17.78	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $37.15 / $54.95	Professional		$24.55	$37.15	$54.95
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $25.70 / $27.54	Facility		$12.30	$25.70	$27.54
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $18.20 / $33.11	Professional		$12.02	$18.20	$33.11