Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $2,344.23 / $7,413.10	Facility		$53.70	$2,344.23	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $39.81 / $91.20	Professional		$19.05	$39.81	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $35.48 / $43.65	Professional		$18.62	$35.48	$43.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $41.69 / $77.62	Professional		$16.22	$41.69	$77.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility		$27.54	$27.54	$27.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $43.65 / $47.86	Professional		$40.74	$43.65	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $23.44 / $52.48	Facility		$23.44	$23.44	$52.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $34.67 / $83.18	Professional		$10.96	$34.67	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $43.65 / $89.13	Professional		$19.95	$43.65	$89.13
United Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $1,513.56 / $2,511.89	Facility		$354.81	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $38.02 / $85.11	Professional		$19.95	$38.02	$85.11