Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $91.20 / $109.65	Facility		$29.51	$91.20	$109.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $30.20 / $85.11	Professional		$20.89	$30.20	$85.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $46.77 / $46.77	Professional		$46.77	$46.77	$46.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $41.69 / $77.62	Facility		$21.38	$41.69	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.92 / $66.07	Professional		$16.22	$26.92	$66.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $21.88 / $21.88	Facility		$21.88	$21.88	$21.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $64.57 / $100.00	Facility		$36.31	$64.57	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $39.81 / $50.12	Professional		$31.62	$39.81	$50.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $46.77 / $117.49	Professional		$35.48	$46.77	$117.49
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $29.51 / $38.90	Facility		$21.38	$29.51	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $13.80 / $21.88 / $67.61	Professional		$13.80	$21.88	$67.61