Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.07 / $29.45 / $76.66	Facility		$22.07	$29.45	$76.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $34.00 / $81.98	Professional		$23.89	$34.00	$81.98
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $37.21 / $37.21 / $51.58	Professional	25	$37.21	$37.21	$51.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.22 / $79.45 / $85.46	Professional		$45.22	$79.45	$85.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $37.52 / $65.39	Professional		$28.11	$37.52	$65.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.17 / $36.11 / $64.93	Facility		$24.17	$36.11	$64.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $43.65 / $68.98	Professional		$43.52	$43.65	$68.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.08 / $42.17 / $74.61	Professional		$29.08	$42.17	$74.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.13 / $46.03 / $73.02	Professional		$33.13	$46.03	$73.02
United Facility/Professional Professional Modifier Low / Median / High Price $33.75 / $47.59 / $89.11	Professional		$33.75	$47.59	$89.11