Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.60 / $27.51 / $39.68	Professional		$23.60	$27.51	$39.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $25.12	Professional		$25.12	$25.12	$25.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.62 / $53.62 / $53.62	Facility		$53.62	$53.62	$53.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.52 / $45.00 / $113.25	Professional		$37.52	$45.00	$113.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.93 / $38.94 / $86.44	Facility		$4.93	$38.94	$86.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.55 / $34.19 / $47.74	Professional		$4.55	$34.19	$47.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.06 / $36.06 / $47.33	Facility		$36.06	$36.06	$47.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.65 / $36.06 / $67.50	Professional		$30.65	$36.06	$67.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.75 / $53.62 / $170.00	Professional		$40.75	$53.62	$170.00
United Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $30.65 / $53.64	Professional		$18.60	$30.65	$53.64