Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.78 / $10.78 / $30.54	Facility		$10.78	$10.78	$30.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.78 / $15.31 / $20.64	Professional		$10.78	$15.31	$20.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.42 / $19.14 / $19.14	Professional		$15.42	$19.14	$19.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.88 / $36.22 / $94.98	Facility		$25.88	$36.22	$94.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $21.52 / $41.32	Professional		$13.79	$21.52	$41.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $23.66 / $47.88	Facility		$21.13	$23.66	$47.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.00 / $22.00 / $22.00	Professional		$22.00	$22.00	$22.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.62 / $16.62 / $16.62	Facility		$16.62	$16.62	$16.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $15.74 / $28.88	Professional		$12.13	$15.74	$28.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $25.88 / $36.01	Professional		$19.67	$25.88	$36.01
United Facility/Professional Facility Modifier Low / Median / High Price $16.25 / $16.25 / $16.25	Facility		$16.25	$16.25	$16.25
United Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $12.91 / $21.30	Professional		$9.71	$12.91	$21.30