Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $102.33 / $218.78	Facility		$44.67	$102.33	$218.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $56.23 / $190.55	Professional		$41.69	$56.23	$190.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $44.67 / $93.33	Professional		$38.90	$44.67	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $83.18 / $112.20	Facility		$41.69	$83.18	$112.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $36.31 / $114.82	Professional		$31.62	$36.31	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $104.71 / $194.98	Facility		$64.57	$104.71	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $77.62 / $97.72	Professional		$39.81	$77.62	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $169.82	Professional		$70.79	$91.20	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $57.54 / $77.62	Facility		$38.02	$57.54	$77.62
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $43.65 / $134.90	Professional		$26.92	$43.65	$134.90