Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $72.44 / $173.78	Facility		$26.30	$72.44	$173.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $35.48 / $89.13	Professional		$22.91	$35.48	$89.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $19.05 / $48.98	Professional		$14.79	$19.05	$48.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $44.67 / $67.61	Facility		$25.70	$44.67	$67.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $26.30 / $51.29	Professional		$17.38	$26.30	$51.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $48.98 / $75.86	Facility		$41.69	$48.98	$75.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $45.71 / $47.86	Professional		$41.69	$45.71	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $66.07 / $107.15	Facility		$34.67	$66.07	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $39.81 / $104.71	Professional		$19.50	$39.81	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $45.71 / $275.42	Professional		$31.62	$45.71	$275.42
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $31.62 / $43.65	Facility		$29.51	$31.62	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $28.84 / $50.12	Professional		$20.89	$28.84	$50.12