Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.81 / $87.62 / $299.60	Facility		$25.81	$87.62	$299.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $22.09 / $42.21	Professional		$16.78	$22.09	$42.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $15.49 / $17.57	Professional		$15.49	$15.49	$17.57
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $18.63 / $32.97 / $89.30	Facility		$18.63	$32.97	$89.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.56 / $12.75 / $51.74	Professional		$9.56	$12.75	$51.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.78 / $25.81 / $41.30	Facility		$16.78	$25.81	$41.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $16.78 / $25.81	Professional		$16.78	$16.78	$25.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.80 / $56.78 / $79.42	Facility		$25.80	$56.78	$79.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.89 / $31.39 / $39.24	Professional		$15.89	$31.39	$39.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $33.54 / $92.78	Professional		$28.20	$33.54	$92.78
United Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $18.85 / $46.90	Professional		$11.55	$18.85	$46.90