Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.71 / $296.64 / $823.20	Facility		$25.71	$296.64	$823.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.73 / $41.96 / $76.34	Professional		$24.73	$41.96	$76.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $30.73 / $30.73	Professional		$30.73	$30.73	$30.73
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.80 / $40.46 / $74.81	Professional		$24.80	$40.46	$74.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.01 / $28.59 / $74.79	Facility		$23.01	$28.59	$74.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.29 / $46.22 / $50.03	Professional		$39.29	$46.22	$50.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.64 / $23.64 / $53.19	Facility		$23.64	$23.64	$53.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.18 / $37.14 / $89.33	Professional		$17.18	$37.14	$89.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $37.82 / $168.00	Professional		$21.28	$37.82	$168.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $0.76 / $0.76 / $1.34	Professional	AS	$0.76	$0.76	$1.34
United Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $42.06 / $66.94	Professional		$31.33	$42.06	$66.94