Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.80 / $61.03 / $146.80	Facility		$30.80	$61.03	$146.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $33.72 / $46.31	Professional		$29.58	$33.72	$46.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $27.79 / $27.79	Professional		$27.79	$27.79	$27.79
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.74 / $50.48 / $160.22	Facility		$30.74	$50.48	$160.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $18.52 / $72.16	Professional		$13.89	$18.52	$72.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.65 / $46.31 / $74.09	Facility		$29.65	$46.31	$74.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.10 / $30.10 / $46.31	Professional		$30.10	$30.10	$46.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.12 / $90.18 / $106.21	Facility		$46.12	$90.18	$106.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.03 / $56.58 / $70.73	Professional		$21.03	$56.58	$70.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.60 / $60.20 / $141.80	Professional		$50.60	$60.20	$141.80
United Facility/Professional Professional Modifier Low / Median / High Price $19.92 / $27.79 / $47.43	Professional		$19.92	$27.79	$47.43