Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $30.00 / $956.30	Facility		$30.00	$30.00	$956.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $84.00	Professional		$30.00	$30.00	$84.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $38.04 / $40.00	Professional		$38.04	$38.04	$40.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $38.04 / $139.61	Facility		$38.04	$38.04	$139.61
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $38.04 / $106.36	Professional		$35.09	$38.04	$106.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.04 / $53.26 / $60.86	Facility		$38.04	$53.26	$60.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $49.45 / $88.19	Professional		$38.04	$49.45	$88.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $17.27 / $44.32	Facility		$17.27	$17.27	$44.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.68 / $14.68 / $14.68	Professional		$14.68	$14.68	$14.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $38.04 / $47.23	Professional		$38.04	$38.04	$47.23
United Facility/Professional Professional Modifier Low / Median / High Price $14.77 / $22.16 / $44.09	Professional		$14.77	$22.16	$44.09