Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.88 / $97.72 / $173.78	Facility		$33.88	$97.72	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $61.66	Professional		$33.88	$43.65	$61.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $35.48 / $97.72	Professional		$25.70	$35.48	$97.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $66.07 / $91.20	Facility		$33.11	$66.07	$91.20
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $91.20	Professional		$25.12	$30.90	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $83.18 / $154.88	Facility		$51.29	$83.18	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $61.66 / $77.62	Professional		$30.90	$61.66	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $58.88 / $97.72	Professional		$56.23	$58.88	$97.72
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $45.71 / $64.57	Facility		$30.20	$45.71	$64.57
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $34.67 / $93.33	Professional		$21.38	$34.67	$93.33