Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $87.10 / $309.03	Facility		$25.70	$87.10	$309.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.39 / $51.29	Professional		$16.98	$22.39	$51.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.22 / $31.62	Professional		$10.96	$16.22	$31.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $33.11 / $44.67	Facility		$16.98	$33.11	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $19.95 / $52.48	Professional		$12.88	$19.95	$52.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $17.78 / $37.15	Facility		$16.60	$17.78	$37.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $16.60 / $25.70	Professional		$16.60	$16.60	$25.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $51.29 / $79.43	Facility		$25.70	$51.29	$79.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $31.62 / $38.90	Professional		$15.85	$31.62	$38.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $93.33	Professional		$28.18	$36.31	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $23.44 / $31.62	Facility		$15.14	$23.44	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $17.38 / $46.77	Professional		$10.96	$17.38	$46.77