Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.79 / $85.52 / $467.60	Facility		$31.79	$85.52	$467.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $37.77 / $47.81	Professional		$33.47	$37.77	$47.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $28.69	Professional		$28.69	$28.69	$28.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.51 / $58.08 / $165.42	Facility		$34.51	$58.08	$165.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.70 / $23.61 / $83.74	Professional		$17.70	$23.61	$83.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.33 / $47.81 / $76.50	Facility		$28.33	$47.81	$76.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.73 / $105.18 / $147.35	Facility		$47.73	$105.18	$147.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.81 / $58.23 / $72.79	Professional		$29.81	$58.23	$72.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.24 / $62.15 / $83.65	Professional		$52.24	$62.15	$83.65
United Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $29.81 / $86.43	Professional		$20.39	$29.81	$86.43