Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $184.58 / $592.09	Facility		$41.28	$184.58	$592.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $36.79 / $73.83	Professional		$28.90	$36.79	$73.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.64 / $24.77 / $27.52	Professional		$20.64	$24.77	$27.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.79 / $52.74 / $142.83	Facility		$29.79	$52.74	$142.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $20.38 / $82.71	Professional		$15.28	$20.38	$82.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.83 / $41.28 / $66.05	Facility		$26.83	$41.28	$66.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $26.83 / $41.28	Professional		$26.83	$26.83	$41.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $90.82 / $127.47	Facility		$41.28	$90.82	$127.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.51 / $50.39 / $62.99	Professional		$25.51	$50.39	$62.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.11 / $53.66 / $148.30	Professional		$45.11	$53.66	$148.30
United Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $32.29 / $85.01	Professional		$19.00	$32.29	$85.01