Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $72.44 / $269.15	Facility		$11.48	$72.44	$269.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $61.66 / $91.20	Professional		$8.91	$61.66	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $81.28 / $104.71	Facility		$13.49	$81.28	$104.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $23.99 / $58.88	Professional		$10.47	$23.99	$58.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $22.91 / $131.83 / $245.47	Facility		$22.91	$131.83	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $97.72 / $123.03	Professional		$6.03	$97.72	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $93.33 / $151.36	Professional		$30.90	$93.33	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $72.44 / $81.28	Facility		$7.24	$72.44	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $33.88 / $100.00	Professional		$5.89	$33.88	$100.00