Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.29 / $45.29 / $45.29	Facility		$45.29	$45.29	$45.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.21 / $50.65 / $101.56	Professional		$30.21	$50.65	$101.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $116.13 / $116.13 / $116.13	Professional		$116.13	$116.13	$116.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.40 / $59.47 / $131.32	Professional		$26.40	$59.47	$131.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.01 / $60.80 / $132.33	Facility		$59.01	$60.80	$132.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.80 / $60.80 / $60.80	Professional		$60.80	$60.80	$60.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.91 / $44.91 / $44.91	Facility		$44.91	$44.91	$44.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.17 / $38.17 / $82.50	Professional		$38.17	$38.17	$82.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.36 / $71.53 / $94.42	Professional		$54.36	$71.53	$94.42
United Facility/Professional Professional Modifier Low / Median / High Price $23.79 / $35.19 / $59.47	Professional		$23.79	$35.19	$59.47