Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $43.65 / $186.21	Facility		$25.12	$43.65	$186.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $25.12 / $34.67	Professional		$19.95	$25.12	$34.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $19.50 / $44.67	Professional		$18.62	$19.50	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $33.88 / $43.65	Facility		$19.95	$33.88	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $18.62 / $46.77	Professional		$12.30	$18.62	$46.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $20.89 / $20.89	Facility		$20.89	$20.89	$20.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $60.26 / $93.33	Facility		$30.90	$60.26	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $37.15 / $46.77	Professional		$14.13	$37.15	$46.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $43.65 / $58.88	Professional		$33.88	$43.65	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $27.54 / $30.90	Facility		$14.13	$27.54	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $18.62 / $53.70	Professional		$12.88	$18.62	$53.70