Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $194.98 / $549.54	Facility		$60.26	$194.98	$549.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $57.54 / $87.10	Professional		$40.74	$57.54	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $30.90 / $75.86	Professional		$26.30	$30.90	$75.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $79.43 / $112.20	Facility		$40.74	$79.43	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $38.02 / $95.50	Professional		$28.84	$38.02	$95.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $40.74 / $89.13	Facility		$35.48	$40.74	$89.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $40.74 / $61.66	Professional		$40.74	$40.74	$61.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $100.00 / $190.55	Facility		$61.66	$100.00	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $70.79 / $95.50	Professional		$30.90	$70.79	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $70.79 / $117.49	Professional		$67.61	$70.79	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $56.23 / $72.44	Facility		$33.88	$56.23	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $38.02 / $109.65	Professional		$26.30	$38.02	$109.65