Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $77.53 / $189.13	Facility		$24.44	$77.53	$189.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $21.78 / $31.45	Professional		$16.55	$21.78	$31.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.28 / $15.28 / $15.28	Professional		$15.28	$15.28	$15.28
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.38 / $32.54 / $88.13	Facility		$18.38	$32.54	$88.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.43 / $12.58 / $51.03	Professional		$9.43	$12.58	$51.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.55 / $25.47 / $40.75	Facility		$16.55	$25.47	$40.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $16.55 / $25.47	Professional		$16.55	$16.55	$25.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $56.03 / $78.37	Facility		$25.48	$56.03	$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 $27.83 / $33.11 / $91.47	Professional		$27.83	$33.11	$91.47
United Facility/Professional Professional Modifier Low / Median / High Price $10.70 / $18.59 / $46.53	Professional		$10.70	$18.59	$46.53