Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $69.18 / $75.86	Facility		$21.88	$69.18	$75.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $37.15 / $91.20	Professional		$23.99	$37.15	$91.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $46.77 / $79.43	Professional		$37.15	$46.77	$79.43
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $44.67 / $44.67 / $44.67	Professional	25	$44.67	$44.67	$44.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $52.48	Professional		$28.18	$37.15	$52.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $25.12 / $39.81 / $67.61	Facility		$25.12	$39.81	$67.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $69.18	Professional		$44.67	$44.67	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $89.13	Professional		$29.51	$44.67	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $51.29 / $72.44	Professional		$30.90	$51.29	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $85.11	Professional		$28.18	$40.74	$85.11