Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.74 / $60.74 / $108.38	Facility		$22.74	$60.74	$108.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $27.35 / $34.19	Professional		$20.51	$27.35	$34.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.51 / $20.51 / $20.51	Professional		$20.51	$20.51	$20.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.27 / $37.26 / $118.30	Facility		$23.27	$37.26	$118.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.51 / $14.02 / $52.59	Professional		$10.51	$14.02	$52.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.07 / $34.19 / $54.70	Facility		$23.07	$34.19	$54.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.18 / $75.22 / $94.97	Facility		$34.18	$75.22	$94.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $41.71 / $52.14	Professional		$15.51	$41.71	$52.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $39.32 / $51.51	Professional		$37.36	$39.32	$51.51
United Facility/Professional Facility Modifier Low / Median / High Price $30.77 / $30.77 / $30.77	Facility		$30.77	$30.77	$30.77
United Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $20.51 / $35.06	Professional		$15.39	$20.51	$35.06