Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.99 / $25.12 / $33.11	Facility		$23.99	$25.12	$33.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $23.99 / $39.81	Professional		$23.99	$23.99	$39.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $23.44 / $32.36	Professional		$14.45	$23.44	$32.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $28.84 / $85.11	Facility		$24.55	$28.84	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Professional		$27.54	$27.54	$27.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $53.70 / $87.10	Professional		$25.12	$53.70	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $58.88 / $83.18	Facility		$30.20	$58.88	$83.18
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $29.51 / $48.98	Professional		$27.54	$29.51	$48.98