Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $30.90 / $114.82	Facility		$21.88	$30.90	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $25.12 / $33.11	Professional		$10.00	$25.12	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $21.88 / $21.88	Professional		$20.89	$21.88	$21.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $37.15 / $44.67	Facility		$12.88	$37.15	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $6.46 / $23.44	Professional		$6.46	$6.46	$23.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $23.44	Facility		$23.44	$23.44	$23.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $75.86 / $104.71	Facility		$53.70	$75.86	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $41.69 / $52.48	Professional		$38.90	$41.69	$52.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.90 / $44.67	Professional		$38.02	$38.90	$44.67
United Facility/Professional Facility Modifier Low / Median / High Price $18.62 / $30.90 / $33.88	Facility		$18.62	$30.90	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $20.42 / $51.29	Professional		$14.45	$20.42	$51.29