Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $40.74 / $56.23	Professional		$28.18	$40.74	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $56.23	Professional		$33.88	$33.88	$56.23
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $87.10	Professional		$34.67	$54.95	$87.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Professional		$56.23	$56.23	$56.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $39.81 / $104.71	Facility		$39.81	$39.81	$104.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $75.86	Professional		$33.88	$33.88	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $67.61 / $93.33	Professional		$38.02	$67.61	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $27.54 / $43.65	Facility		$19.05	$27.54	$43.65
United Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $31.62 / $60.26	Professional		$21.88	$31.62	$60.26