Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $251.19 / $812.83	Facility		$30.90	$251.19	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $36.31	Professional		$20.89	$25.70	$36.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $7.08 / $11.48	Professional		$7.08	$7.08	$11.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $33.88 / $51.29	Facility		$22.39	$33.88	$51.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $20.42 / $35.48	Professional		$11.75	$20.42	$35.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $22.39 / $32.36	Facility		$14.45	$22.39	$32.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $16.60 / $25.12	Professional		$14.13	$16.60	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $57.54 / $100.00	Facility		$12.88	$57.54	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $29.51 / $37.15	Professional		$10.96	$29.51	$37.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $33.88 / $218.78	Professional		$30.90	$33.88	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $144.54 / $147.91	Facility		$10.47	$144.54	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $15.85 / $40.74	Professional		$12.59	$15.85	$40.74