Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.24 / $34.24 / $34.24	Facility		$34.24	$34.24	$34.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.48 / $34.79 / $49.55	Professional		$18.48	$34.79	$49.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $38.65 / $40.02	Professional		$21.48	$38.65	$40.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $54.08 / $75.70 / $198.47	Facility		$54.08	$75.70	$198.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.69 / $44.96 / $102.87	Professional		$29.69	$44.96	$102.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.97 / $75.70 / $94.64	Facility		$45.97	$75.70	$94.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.97 / $54.08 / $75.70	Professional		$45.97	$54.08	$75.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.21 / $36.21 / $36.21	Facility		$36.21	$36.21	$36.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.43 / $26.43 / $62.63	Professional		$26.43	$26.43	$62.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $54.08 / $71.52	Professional		$54.08	$54.08	$71.52
United Facility/Professional Professional Modifier Low / Median / High Price $17.98 / $26.98 / $46.79	Professional		$17.98	$26.98	$46.79