Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $87.10 / $309.03	Facility		$36.31	$87.10	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $36.31 / $89.13	Professional		$26.92	$36.31	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.18 / $58.88	Professional		$24.55	$28.18	$58.88
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $52.48 / $70.79	Facility		$26.30	$52.48	$70.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $31.62 / $83.18	Professional		$19.95	$31.62	$83.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $26.92 / $58.88	Facility		$26.30	$26.92	$58.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $26.30 / $40.74	Professional		$26.30	$26.30	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $66.07 / $123.03	Facility		$40.74	$66.07	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $50.12 / $61.66	Professional		$25.12	$50.12	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $57.54 / $147.91	Professional		$44.67	$57.54	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $36.31 / $50.12	Facility		$23.99	$36.31	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $28.84 / $74.13	Professional		$16.98	$28.84	$74.13