Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.78 / $13.78 / $39.04	Facility		$13.78	$13.78	$39.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $15.96 / $22.05	Professional		$13.61	$15.96	$22.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.07 / $23.65 / $24.49	Professional		$17.07	$23.65	$24.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.09 / $46.33 / $121.44	Facility		$33.09	$46.33	$121.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.39 / $27.50 / $52.80	Professional		$17.39	$27.50	$52.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.58 / $28.13 / $61.22	Facility		$22.58	$28.13	$61.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $28.13 / $28.13 / $28.13	Professional		$28.13	$28.13	$28.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $18.44 / $18.44 / $18.44	Facility		$18.44	$18.44	$18.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.46 / $18.05 / $33.00	Professional		$13.46	$18.05	$33.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.15 / $33.09 / $45.80	Professional		$25.15	$33.09	$45.80
United Facility/Professional Professional Modifier Low / Median / High Price $11.00 / $16.50 / $27.22	Professional		$11.00	$16.50	$27.22