Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.65 / $93.10 / $122.27	Facility		$25.65	$93.10	$122.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.40 / $27.89 / $36.64	Professional		$21.40	$27.89	$36.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.14 / $23.14 / $23.14	Professional		$23.14	$23.14	$23.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $31.63 / $45.51 / $133.44	Facility		$31.63	$45.51	$133.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.57 / $19.29 / $57.85	Professional		$11.57	$19.29	$57.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.19 / $38.57 / $61.71	Facility		$21.19	$38.57	$61.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.38 / $84.85 / $107.19	Facility		$38.38	$84.85	$107.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.07 / $47.08 / $58.85	Professional		$25.07	$47.08	$58.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.15 / $44.36 / $58.11	Professional		$42.15	$44.36	$58.11
United Facility/Professional Facility Modifier Low / Median / High Price $34.71 / $34.71 / $34.71	Facility		$34.71	$34.71	$34.71
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $23.14 / $38.57	Professional		$16.20	$23.14	$38.57