Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.01 / $42.01 / $42.01	Facility		$42.01	$42.01	$42.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.16 / $42.01 / $52.70	Professional		$18.16	$42.01	$52.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.26 / $34.26 / $66.33	Professional		$34.26	$34.26	$66.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.33 / $66.33 / $121.79	Professional		$42.33	$66.33	$121.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.38 / $66.33 / $130.01	Facility		$56.38	$66.33	$130.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.38 / $56.38 / $56.38	Professional		$56.38	$56.38	$56.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.86 / $39.86 / $49.23	Facility		$39.86	$39.86	$49.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $75.27	Professional		$33.88	$33.88	$75.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $66.33 / $93.36	Professional		$50.41	$66.33	$93.36
United Facility/Professional Professional Modifier Low / Median / High Price $22.06 / $31.23 / $54.60	Professional		$22.06	$31.23	$54.60