Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $91.20 / $128.82	Facility		$20.89	$91.20	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $32.36 / $43.65	Professional		$30.90	$32.36	$43.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.92 / $30.20	Professional		$20.89	$26.92	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $36.31 / $74.13	Facility		$30.90	$36.31	$74.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.90 / $31.62	Professional		$30.20	$30.90	$31.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $33.11 / $33.11	Facility		$33.11	$33.11	$33.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Facility		$35.48	$35.48	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $35.48 / $35.48	Professional		$35.48	$35.48	$35.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.14 / $25.70 / $32.36	Professional		$2.14	$25.70	$32.36
United Facility/Professional Facility Modifier Low / Median / High Price $38.90 / $70.79 / $100.00	Facility		$38.90	$70.79	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $38.02 / $54.95	Professional		$31.62	$38.02	$54.95