Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.11 / $113.84 / $304.80	Facility		$39.11	$113.84	$304.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $35.43 / $70.86	Professional		$27.10	$35.43	$70.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $24.45 / $27.17	Professional		$24.45	$24.45	$27.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.41 / $52.07 / $141.00	Facility		$29.41	$52.07	$141.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.09 / $20.12 / $81.66	Professional		$15.09	$20.12	$81.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.49 / $40.75 / $65.20	Facility		$26.49	$40.75	$65.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.49 / $26.49 / $40.75	Professional		$26.49	$26.49	$40.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.63 / $89.65 / $125.41	Facility		$40.63	$89.65	$125.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.21 / $49.56 / $61.95	Professional		$25.21	$49.56	$61.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.53 / $52.98 / $146.41	Professional		$44.53	$52.98	$146.41
United Facility/Professional Professional Modifier Low / Median / High Price $23.91 / $29.75 / $83.92	Professional		$23.91	$29.75	$83.92