Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $54.95 / $398.11	Facility		$26.30	$54.95	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.30 / $58.88	Professional		$19.05	$26.30	$58.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $20.42 / $20.42	Professional		$19.50	$20.42	$20.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $38.02 / $51.29	Facility		$19.05	$38.02	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $22.91 / $60.26	Professional		$14.45	$22.91	$60.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $19.95 / $19.95	Facility		$19.95	$19.95	$19.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $57.54 / $89.13	Facility		$29.51	$57.54	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $36.31 / $44.67	Professional		$18.20	$36.31	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $41.69 / $107.15	Professional		$32.36	$41.69	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $26.30 / $36.31	Facility		$17.38	$26.30	$36.31
United Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $20.89 / $53.70	Professional		$12.30	$20.89	$53.70