Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.25 / $34.75 / $54.89	Professional		$29.25	$34.75	$54.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.72 / $60.72 / $79.19	Professional		$60.72	$60.72	$79.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.74 / $63.74 / $63.74	Facility		$63.74	$63.74	$63.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.11 / $51.12 / $106.00	Professional		$5.11	$51.12	$106.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.41 / $54.06 / $102.76	Facility		$5.41	$54.06	$102.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.41 / $40.64 / $76.45	Professional		$5.41	$40.64	$76.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.54 / $41.54 / $57.01	Facility		$41.54	$41.54	$57.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.31 / $41.54 / $72.75	Professional		$35.31	$41.54	$72.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $9.59 / $63.74 / $104.33	Professional		$9.59	$63.74	$104.33
United Facility/Professional Professional Modifier Low / Median / High Price $23.06 / $47.64 / $85.87	Professional		$23.06	$47.64	$85.87