Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.60 / $88.21 / $166.85	Facility		$32.60	$88.21	$166.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.60 / $44.13 / $131.40	Professional		$32.60	$44.13	$131.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.42 / $29.42 / $29.42	Professional		$29.42	$29.42	$29.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.39 / $62.64 / $169.64	Facility		$35.39	$62.64	$169.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.14 / $24.21 / $98.24	Professional		$18.14	$24.21	$98.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $37.31 / $49.03 / $78.45	Facility		$37.31	$49.03	$78.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.02 / $107.87 / $151.52	Facility		$49.02	$107.87	$151.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $59.89 / $74.86	Professional		$30.25	$59.89	$74.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.58 / $63.74 / $176.12	Professional		$53.58	$63.74	$176.12
United Facility/Professional Professional Modifier Low / Median / High Price $20.59 / $35.79 / $89.58	Professional		$20.59	$35.79	$89.58