Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $85.11 / $177.83	Facility		$12.88	$85.11	$177.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $15.49	Professional		$12.88	$12.88	$15.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $14.13 / $70.79	Facility		$12.88	$14.13	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.20 / $12.88 / $12.88	Professional		$1.20	$12.88	$12.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $12.30 / $12.88	Facility		$12.30	$12.30	$12.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $12.88	Professional		$12.88	$12.88	$12.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1.23 / $1.23 / $14.45	Professional		$1.23	$1.23	$14.45
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $34.67 / $48.98	Facility		$18.62	$34.67	$48.98
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $33.88	Professional		$12.88	$12.88	$33.88