Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $55.69 / $98.21	Facility		$20.60	$55.69	$98.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $26.95 / $37.18	Professional		$20.60	$26.95	$37.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.36 / $39.58 / $107.19	Facility		$22.36	$39.58	$107.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $15.30 / $62.07	Professional		$11.47	$15.30	$62.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $30.98 / $49.57	Facility		$21.14	$30.98	$49.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.96 / $68.16 / $95.10	Facility		$30.96	$68.16	$95.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $37.58 / $46.98	Professional		$19.10	$37.58	$46.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $40.27 / $111.30	Professional		$33.85	$40.27	$111.30
United Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $21.94 / $56.29	Professional		$13.01	$21.94	$56.29