Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.63 / $25.74 / $40.36	Professional		$22.63	$25.74	$40.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $38.03 / $46.80	Professional		$29.25	$38.03	$46.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.95 / $47.95 / $47.95	Facility		$47.95	$47.95	$47.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $38.45 / $79.65	Professional		$3.89	$38.45	$79.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.08 / $39.58 / $77.29	Facility		$4.08	$39.58	$77.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $30.57 / $62.60	Professional		$4.08	$30.57	$62.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $31.00 / $31.00 / $46.43	Facility		$31.00	$31.00	$46.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.35 / $31.00 / $54.00	Professional		$26.35	$31.00	$54.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.44 / $47.95 / $76.72	Professional		$36.44	$47.95	$76.72
United Facility/Professional Professional Modifier Low / Median / High Price $23.40 / $35.21 / $61.16	Professional		$23.40	$35.21	$61.16