Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $12.53 / $35.47	Facility		$12.53	$12.53	$35.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $14.38 / $20.05	Professional		$11.78	$14.38	$20.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.95 / $21.52 / $39.09	Professional		$11.95	$21.52	$39.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.07 / $42.10 / $110.36	Facility		$30.07	$42.10	$110.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $25.01 / $48.02	Professional		$15.83	$25.01	$48.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.90 / $25.56 / $55.63	Facility		$20.90	$25.56	$55.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $25.56 / $25.56	Professional		$25.56	$25.56	$25.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.29 / $16.29 / $16.29	Facility		$16.29	$16.29	$16.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.89 / $11.89 / $31.36	Professional		$11.89	$11.89	$31.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $30.07 / $41.89	Professional		$22.85	$30.07	$41.89
United Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $15.01 / $24.76	Professional		$10.00	$15.01	$24.76