Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.60 / $55.69 / $172.90	Facility		$20.60	$55.69	$172.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.60 / $27.00 / $50.64	Professional		$20.60	$27.00	$50.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $18.59 / $18.59	Professional		$18.59	$18.59	$18.59
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.36 / $39.58 / $107.19	Facility		$22.36	$39.58	$107.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $15.30 / $62.07	Professional		$11.47	$15.30	$62.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.14 / $30.98 / $49.57	Facility		$21.14	$30.98	$49.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.96 / $68.16 / $95.10	Facility		$30.96	$68.16	$95.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.10 / $37.58 / $46.98	Professional		$19.10	$37.58	$46.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.85 / $40.27 / $111.30	Professional		$33.85	$40.27	$111.30
United Facility/Professional Facility Modifier Low / Median / High Price $27.88 / $27.88 / $27.88	Facility		$27.88	$27.88	$27.88
United Facility/Professional Professional Modifier Low / Median / High Price $17.04 / $25.36 / $56.29	Professional		$17.04	$25.36	$56.29