Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.68 / $260.27 / $1,515.71	Facility		$64.68	$260.27	$1,515.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $23.03 / $50.48	Professional		$11.76	$23.03	$50.48
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $23.64 / $25.00 / $40.56	Professional	25	$23.64	$25.00	$40.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $14.95 / $14.95	Professional		$14.95	$14.95	$14.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.00 / $506.01 / $669.63	Facility		$115.00	$506.01	$669.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $17.41 / $17.75	Professional		$12.71	$17.41	$17.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.85 / $18.85 / $47.43	Facility		$18.85	$18.85	$47.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.69 / $50.69 / $50.69	Facility		$50.69	$50.69	$50.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $20.32 / $42.73	Professional		$13.30	$20.32	$42.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.39 / $16.02	Professional		$13.00	$13.39	$16.02
United Facility/Professional Professional Modifier Low / Median / High Price $14.42 / $26.38 / $42.78	Professional		$14.42	$26.38	$42.78