Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $58.88 / $112.20	Professional		$36.31	$58.88	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $56.23 / $85.11	Professional		$40.74	$56.23	$85.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $58.88 / $91.20	Professional		$26.92	$58.88	$91.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Facility		$60.26	$60.26	$60.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $104.71	Facility		$44.67	$44.67	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $83.18	Professional		$38.02	$38.02	$83.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $72.44 / $95.50	Professional		$46.77	$72.44	$95.50
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $30.90 / $50.12	Facility		$21.38	$30.90	$50.12
United Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $33.88 / $61.66	Professional		$23.99	$33.88	$61.66