Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.35 / $53.92 / $221.90	Facility		$26.35	$53.92	$221.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $26.35 / $33.67	Professional		$19.47	$26.35	$33.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.57 / $17.57 / $17.57	Professional		$17.57	$17.57	$17.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.13 / $37.40 / $101.31	Facility		$21.13	$37.40	$101.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $14.46 / $58.67	Professional		$10.84	$14.46	$58.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.53 / $29.28 / $46.85	Facility		$19.53	$29.28	$46.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $64.42 / $89.85	Facility		$29.35	$64.42	$89.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.03 / $35.52 / $44.40	Professional		$18.03	$35.52	$44.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $38.06 / $105.17	Professional		$32.00	$38.06	$105.17
United Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $23.96 / $61.97	Professional		$17.18	$23.96	$61.97