Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $32.47 / $77.16	Facility		$32.47	$32.47	$77.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $41.03 / $51.99	Professional		$32.10	$41.03	$51.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.33 / $50.62 / $50.62	Professional		$35.33	$50.62	$50.62
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.40 / $95.76 / $251.03	Facility		$68.40	$95.76	$251.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.47 / $56.88 / $109.21	Professional		$36.47	$56.88	$109.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.14 / $69.30 / $126.54	Facility		$58.14	$69.30	$126.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $58.14 / $58.14 / $58.14	Professional		$58.14	$58.14	$58.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.72 / $36.72 / $36.72	Facility		$36.72	$36.72	$36.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.81 / $36.72 / $90.05	Professional		$26.81	$36.72	$90.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.98 / $68.40 / $122.64	Professional		$51.98	$68.40	$122.64
United Facility/Professional Professional Modifier Low / Median / High Price $22.75 / $34.13 / $56.30	Professional		$22.75	$34.13	$56.30