Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.33 / $67.91 / $219.80	Facility		$26.33	$67.91	$219.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.09 / $33.95 / $43.39	Professional		$25.09	$33.95	$43.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.64 / $22.64 / $22.64	Professional		$22.64	$22.64	$22.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $26.11 / $41.69 / $130.55	Facility		$26.11	$41.69	$130.55
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.97 / $18.63 / $53.43	Professional		$13.97	$18.63	$53.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.52 / $37.72 / $60.37	Facility		$24.52	$37.72	$60.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $24.52 / $24.52 / $37.72	Professional		$24.52	$24.52	$37.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.72 / $83.01 / $115.99	Facility		$37.72	$83.01	$115.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.22 / $45.84 / $57.30	Professional		$23.22	$45.84	$57.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.23 / $49.05 / $199.07	Professional		$41.23	$49.05	$199.07
United Facility/Professional Facility Modifier Low / Median / High Price $33.96 / $33.96 / $46.67	Facility		$33.96	$33.96	$46.67
United Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $20.63 / $52.40	Professional		$15.85	$20.63	$52.40