Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $30.20	Facility		$15.85	$15.85	$30.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $16.98 / $19.05	Professional		$10.00	$16.98	$19.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Professional		$20.89	$20.89	$20.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $57.54 / $69.18	Facility		$18.62	$57.54	$69.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $15.14 / $27.54	Professional		$10.96	$15.14	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $25.70	Professional		$16.98	$16.98	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $29.51	Professional		$15.85	$19.05	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $19.05 / $19.50	Facility		$19.05	$19.05	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $27.54 / $36.31	Professional		$7.24	$27.54	$36.31