Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.20 / $45.89 / $298.89	Facility		$24.20	$45.89	$298.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.24 / $41.73	Professional		$16.98	$22.24	$41.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.32 / $15.32 / $15.32	Professional		$15.32	$15.32	$15.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.43 / $32.61 / $88.33	Facility		$18.43	$32.61	$88.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $12.61 / $51.16	Professional		$9.44	$12.61	$51.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.42 / $25.53 / $40.85	Facility		$17.42	$25.53	$40.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $56.17 / $78.37	Facility		$25.48	$56.17	$78.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.73 / $30.98 / $38.72	Professional		$15.73	$30.98	$38.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.90 / $33.19 / $91.72	Professional		$27.90	$33.19	$91.72
United Facility/Professional Facility Modifier Low / Median / High Price $22.98 / $22.98 / $22.98	Facility		$22.98	$22.98	$22.98
United Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $18.64 / $46.64	Professional		$11.22	$18.64	$46.64