Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.99 / $29.99 / $71.23	Facility		$29.99	$29.99	$71.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.31 / $33.70 / $42.10	Professional		$29.31	$33.70	$42.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $41.05 / $41.05	Professional		$41.05	$41.05	$41.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.15 / $88.41 / $231.76	Facility		$63.15	$88.41	$231.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $52.51 / $100.82	Professional		$33.04	$52.51	$100.82
CareSource Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $53.68 / $116.83	Facility		$52.12	$53.68	$116.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.68 / $53.68 / $53.68	Professional		$53.68	$53.68	$53.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.07 / $35.07 / $35.07	Facility		$35.07	$35.07	$35.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.60 / $35.07 / $72.75	Professional		$25.60	$35.07	$72.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $63.15 / $87.27	Professional		$45.85	$63.15	$87.27
United Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $31.51 / $52.51	Professional		$21.00	$31.51	$52.51