Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.92 / $60.90 / $120.25	Facility		$16.92	$60.90	$120.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.34 / $20.36 / $31.02	Professional		$10.34	$20.36	$31.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.27 / $15.27 / $15.27	Professional		$15.27	$15.27	$15.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.89 / $27.74 / $88.06	Facility		$16.89	$27.74	$88.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $10.18 / $33.85	Professional		$7.63	$10.18	$33.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.54 / $25.45 / $40.72	Facility		$16.54	$25.45	$40.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.54 / $16.54 / $25.45	Professional		$16.54	$16.54	$25.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $25.48 / $55.99 / $66.00	Facility		$25.48	$55.99	$66.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.32 / $30.98 / $38.72	Professional		$29.32	$30.98	$38.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.27 / $38.34 / $101.00	Professional		$29.27	$38.34	$101.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $15.27 / $31.81	Professional		$10.69	$15.27	$31.81