Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $69.18 / $7,244.36	Facility		$45.71	$69.18	$7,244.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $50.12 / $3,548.13	Professional		$44.67	$50.12	$3,548.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Professional		$44.67	$44.67	$44.67
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $74.13 / $251.19	Facility		$45.71	$74.13	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $45.71 / $45.71	Professional		$40.74	$45.71	$45.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $44.67 / $44.67	Facility		$44.67	$44.67	$44.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $45.71	Facility		$42.66	$42.66	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $45.71	Professional		$45.71	$45.71	$45.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $50.12	Professional		$25.70	$25.70	$50.12
United Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $77.62 / $109.65	Facility		$39.81	$77.62	$109.65
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $61.66	Professional		$45.71	$45.71	$61.66