Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $138.04 / $467.74	Facility		$52.48	$138.04	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $53.70 / $100.00	Professional		$41.69	$53.70	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $83.18	Professional		$64.57	$64.57	$83.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $269.15 / $416.87	Facility		$114.82	$269.15	$416.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $93.33 / $141.25	Professional		$53.70	$93.33	$141.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $154.88	Facility		$70.79	$70.79	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $131.83	Professional		$51.29	$51.29	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $114.82 / $158.49	Professional		$63.10	$114.82	$158.49
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $41.69 / $57.54	Facility		$26.92	$41.69	$57.54
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $53.70 / $95.50	Professional		$35.48	$53.70	$95.50