Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.62 / $41.62 / $41.62	Facility		$41.62	$41.62	$41.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $41.62 / $52.21	Professional		$18.00	$41.62	$52.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.94 / $33.94 / $39.44	Professional		$33.94	$33.94	$39.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $54.65 / $120.68	Professional		$38.11	$54.65	$120.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $65.73 / $128.83	Facility		$55.87	$65.73	$128.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $55.87 / $55.87	Professional		$55.87	$55.87	$55.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.47 / $39.47 / $48.77	Facility		$39.47	$39.47	$48.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $33.56 / $74.81	Professional		$33.56	$33.56	$74.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $65.73 / $92.26	Professional		$49.95	$65.73	$92.26
United Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $31.42 / $55.33	Professional		$21.86	$31.42	$55.33