Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $74.13 / $302.00	Facility		$25.12	$74.13	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $21.88 / $29.51	Professional		$8.13	$21.88	$29.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $23.99 / $120.23	Facility		$21.88	$23.99	$120.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $21.88 / $21.88	Professional		$6.76	$21.88	$21.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $21.88	Facility		$20.89	$20.89	$21.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Professional		$21.88	$21.88	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.69 / $2.69 / $24.55	Professional		$2.69	$2.69	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $39.81 / $56.23	Facility		$21.88	$39.81	$56.23
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $21.88 / $26.92	Professional		$21.88	$21.88	$26.92