Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $58.88	Facility		$21.88	$21.88	$58.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $21.88 / $41.69	Professional		$16.98	$21.88	$41.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $28.84 / $35.48	Professional		$28.84	$28.84	$35.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $114.82 / $177.83	Facility		$48.98	$114.82	$177.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $39.81 / $60.26	Professional		$21.38	$39.81	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Professional		$40.74	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $22.91 / $64.57	Facility		$22.91	$22.91	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $16.98 / $41.69	Professional		$16.98	$16.98	$41.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $48.98 / $66.07	Professional		$26.30	$48.98	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $17.78 / $26.30	Facility		$11.22	$17.78	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $22.91 / $40.74	Professional		$14.79	$22.91	$40.74