Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $18.16 / $29.53	Professional		$15.28	$18.16	$29.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.95 / $21.95 / $21.95	Professional		$21.95	$21.95	$21.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $34.82 / $34.82	Facility		$34.82	$34.82	$34.82
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.71 / $28.33 / $59.50	Professional		$2.71	$28.33	$59.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3.08 / $27.08 / $56.15	Facility		$3.08	$27.08	$56.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $22.20 / $36.13	Professional		$2.96	$22.20	$36.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.28 / $23.28 / $30.56	Facility		$23.28	$23.28	$30.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.79 / $23.28 / $40.50	Professional		$19.79	$23.28	$40.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5.33 / $34.82 / $55.71	Professional		$5.33	$34.82	$55.71
United Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $18.60 / $33.81	Professional		$12.04	$18.60	$33.81