Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $81.28 / $104.71	Professional		$67.61	$81.28	$104.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $40.74 / $77.62	Professional		$31.62	$40.74	$77.62
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $104.71 / $138.04	Professional		$10.72	$104.71	$138.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $15.85 / $218.78	Facility		$11.22	$15.85	$218.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.22 / $11.22 / $21.38	Professional		$11.22	$11.22	$21.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $147.91	Facility		$89.13	$89.13	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $89.13 / $97.72	Professional		$10.47	$89.13	$97.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Professional		$37.15	$37.15	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $14.13 / $114.82	Facility		$8.32	$14.13	$114.82
United Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $81.28 / $138.04	Professional		$7.94	$81.28	$138.04