Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $15.85 / $48.98	Facility		$15.85	$15.85	$48.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $18.20 / $32.36	Professional		$15.14	$18.20	$32.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Professional		$29.51	$29.51	$29.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $95.50 / $147.91	Facility		$40.74	$95.50	$147.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $25.12 / $44.67	Professional		$23.99	$25.12	$44.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Professional		$42.66	$42.66	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $22.39 / $69.18	Facility		$22.39	$22.39	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $22.39	Professional		$16.22	$16.22	$22.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $91.20	Professional		$28.18	$40.74	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $26.92 / $30.90	Facility		$14.13	$26.92	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.50 / $34.67	Professional		$12.88	$19.50	$34.67