Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.78 / $48.90 / $441.00	Facility		$27.78	$48.90	$441.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.25 / $32.58 / $59.94	Professional		$22.25	$32.58	$59.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.06 / $25.06 / $25.06	Professional		$25.06	$25.06	$25.06
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.67 / $45.36 / $144.52	Facility		$27.67	$45.36	$144.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $16.71 / $56.61	Professional		$12.53	$16.71	$56.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $26.43 / $41.77 / $66.83	Facility		$26.43	$41.77	$66.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.79 / $73.44 / $91.89	Facility		$31.79	$73.44	$91.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.73 / $50.80 / $63.50	Professional		$17.73	$50.80	$63.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.64 / $54.30 / $89.69	Professional		$45.64	$54.30	$89.69
United Facility/Professional Professional Modifier Low / Median / High Price $17.03 / $21.87 / $52.85	Professional		$17.03	$21.87	$52.85