Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $45.92 / $72.54	Professional		$38.65	$45.92	$72.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $76.20 / $102.26	Professional		$73.98	$76.20	$102.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.38 / $87.38 / $87.38	Facility		$87.38	$87.38	$87.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.01 / $69.98 / $145.96	Professional		$7.01	$69.98	$145.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.69 / $69.86 / $140.83	Facility		$7.69	$69.86	$140.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $55.70 / $93.13	Professional		$7.43	$55.70	$93.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $75.52	Facility		$57.54	$57.54	$75.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.91 / $57.54 / $102.75	Professional		$48.91	$57.54	$102.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.80 / $87.38 / $139.81	Professional		$12.80	$87.38	$139.81
United Facility/Professional Professional Modifier Low / Median / High Price $34.79 / $53.08 / $90.98	Professional		$34.79	$53.08	$90.98