Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.00 / $42.00 / $329.96	Facility		$42.00	$42.00	$329.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.00 / $42.00 / $56.70	Professional		$42.00	$42.00	$56.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $53.42 / $65.00	Professional		$53.42	$53.42	$65.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.42 / $53.42 / $196.05	Facility		$53.42	$53.42	$196.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.86 / $53.42 / $149.36	Professional		$51.86	$53.42	$149.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.79 / $77.45 / $85.47	Facility		$74.79	$77.45	$85.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.76 / $46.76 / $62.23	Facility		$46.76	$46.76	$62.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.75 / $39.75 / $39.75	Professional		$39.75	$39.75	$39.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $53.42 / $61.43	Professional		$53.42	$53.42	$61.43
United Facility/Professional Professional Modifier Low / Median / High Price $20.74 / $31.12 / $80.20	Professional		$20.74	$31.12	$80.20