Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.55 / $13.55 / $32.18	Facility		$13.55	$13.55	$32.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.84 / $15.18 / $21.48	Professional		$12.84	$15.18	$21.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $21.40 / $21.40	Professional		$21.40	$21.40	$21.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.53 / $39.94 / $104.71	Facility		$28.53	$39.94	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.03 / $23.72 / $45.54	Professional		$15.03	$23.72	$45.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $24.25 / $52.78	Facility		$23.52	$24.25	$52.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.25 / $24.25 / $24.25	Professional		$24.25	$24.25	$24.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.80 / $15.80 / $15.80	Facility		$15.80	$15.80	$15.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.53 / $15.80 / $33.00	Professional		$11.53	$15.80	$33.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.68 / $28.53 / $45.85	Professional		$21.68	$28.53	$45.85
United Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $14.23 / $23.48	Professional		$9.49	$14.23	$23.48