Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.95 / $178.87 / $449.40	Facility		$25.95	$178.87	$449.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $49.13 / $66.17	Professional		$22.81	$49.13	$66.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.48 / $49.48 / $49.48	Professional		$49.48	$49.48	$49.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $22.85 / $38.77 / $121.41	Facility		$22.85	$38.77	$121.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $17.32 / $53.72	Professional		$17.32	$17.32	$53.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.09 / $49.13 / $75.44	Facility		$35.09	$49.13	$75.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $42.11 / $45.62	Professional		$35.09	$42.11	$45.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $62.10 / $108.68	Facility		$34.83	$62.10	$108.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $42.18 / $105.92	Professional		$17.55	$42.18	$105.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $45.62 / $274.68	Professional		$31.58	$45.62	$274.68
United Facility/Professional Professional Modifier Low / Median / High Price $14.74 / $21.05 / $63.76	Professional		$14.74	$21.05	$63.76