Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.82 / $61.03 / $161.22	Facility		$33.82	$61.03	$161.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.43 / $39.67 / $50.86	Professional		$25.43	$39.67	$50.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $30.52 / $30.52	Professional		$30.52	$30.52	$30.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.16 / $55.23 / $175.98	Facility		$28.16	$55.23	$175.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.13 / $20.34 / $73.23	Professional		$15.13	$20.34	$73.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.09 / $50.86 / $81.38	Facility		$28.09	$50.86	$81.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.06 / $33.06 / $50.86	Professional		$33.06	$33.06	$50.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.63 / $90.18 / $111.89	Facility		$50.63	$90.18	$111.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.99 / $61.95 / $77.44	Professional		$14.99	$61.95	$77.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $64.59 / $76.63	Professional		$55.58	$64.59	$76.63
United Facility/Professional Professional Modifier Low / Median / High Price $9.46 / $23.16 / $33.06	Professional		$9.46	$23.16	$33.06