Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $46.77 / $69.18	Professional		$38.90	$46.77	$69.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Professional		$54.95	$54.95	$54.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $69.18 / $112.20	Professional		$6.61	$69.18	$112.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.76 / $77.62 / $107.15	Facility		$7.76	$77.62	$107.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $58.88 / $107.15	Professional		$7.76	$58.88	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.26 / $60.26 / $81.28	Facility		$60.26	$60.26	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $60.26 / $109.65	Professional		$51.29	$60.26	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $89.13 / $112.20	Professional		$57.54	$89.13	$112.20
United Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $40.74 / $66.07	Facility		$5.13	$40.74	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $57.54 / $89.13	Professional		$33.11	$57.54	$89.13