Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.81 / $35.81 / $35.81	Facility		$35.81	$35.81	$35.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.71 / $35.81 / $45.22	Professional		$24.71	$35.81	$45.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.76 / $36.76 / $36.76	Professional		$36.76	$36.76	$36.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.34 / $47.03 / $103.83	Professional		$28.34	$47.03	$103.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $48.08 / $56.56 / $110.86	Facility		$48.08	$56.56	$110.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.08 / $48.08 / $48.08	Professional		$48.08	$48.08	$48.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.97 / $33.97 / $35.97	Facility		$33.97	$33.97	$35.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $28.88 / $64.06	Professional		$28.88	$28.88	$64.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.19 / $56.56 / $74.45	Professional		$35.19	$56.56	$74.45
United Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $27.04 / $46.55	Professional		$18.80	$27.04	$46.55