Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.52 / $59.63 / $238.50	Facility		$22.52	$59.63	$238.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.20 / $30.25 / $53.26	Professional		$26.20	$30.25	$53.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.32 / $20.32 / $20.32	Professional		$20.32	$20.32	$20.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.44 / $41.59 / $117.16	Facility		$24.44	$41.59	$117.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $16.72 / $61.20	Professional		$12.54	$16.72	$61.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.82 / $33.86 / $54.18	Facility		$25.82	$33.86	$54.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.86 / $74.48 / $104.48	Facility		$33.86	$74.48	$104.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.23 / $41.30 / $51.63	Professional		$17.23	$41.30	$51.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $44.02 / $108.70	Professional		$37.00	$44.02	$108.70
United Facility/Professional Professional Modifier Low / Median / High Price $17.75 / $22.19 / $47.31	Professional		$17.75	$22.19	$47.31