Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $60.26 / $77.62	Facility		$52.48	$60.26	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $64.57 / $100.00	Professional		$51.29	$64.57	$100.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $14.45 / $72.44 / $75.86	Professional	25	$14.45	$72.44	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $67.61 / $93.33	Professional		$57.54	$67.61	$93.33
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $64.57 / $70.79 / $79.43	Professional	25	$64.57	$70.79	$79.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $74.13 / $114.82	Professional		$57.54	$74.13	$114.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $194.98	Facility		$102.33	$102.33	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $75.86 / $100.00	Professional		$54.95	$75.86	$100.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $117.49	Professional		$75.86	$91.20	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $77.62 / $181.97	Professional		$61.66	$77.62	$181.97