Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $75.86 / $234.42	Facility		$36.31	$75.86	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $74.13 / $125.89	Professional		$70.79	$74.13	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $70.79 / $74.13	Professional		$63.10	$70.79	$74.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $85.11 / $173.78	Facility		$72.44	$85.11	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $83.18 / $85.11	Professional		$67.61	$83.18	$85.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $93.33	Facility		$69.18	$69.18	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $81.28 / $85.11	Professional		$2.14	$81.28	$85.11
United Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $141.25 / $199.53	Facility		$75.86	$141.25	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $100.00 / $147.91	Professional		$85.11	$100.00	$147.91