Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $43.65 / $123.03	Facility		$42.66	$43.65	$123.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $42.66 / $52.48	Professional		$41.69	$42.66	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $56.23	Professional		$41.69	$41.69	$56.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.05 / $0.05	Facility		$0.02	$0.05	$0.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $47.86	Professional		$44.67	$44.67	$47.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $112.20 / $234.42	Professional		$56.23	$112.20	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $97.72 / $138.04	Facility		$52.48	$97.72	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $57.54	Professional		$50.12	$50.12	$57.54