Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.42 / $23.42 / $55.64	Facility		$23.42	$23.42	$55.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $26.32 / $36.67	Professional		$22.18	$26.32	$36.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $36.50 / $36.50	Professional		$36.50	$36.50	$36.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.32 / $69.05 / $181.00	Facility		$49.32	$69.05	$181.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.95 / $41.00 / $78.72	Professional		$25.95	$41.00	$78.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.69 / $41.92 / $91.24	Facility		$40.69	$41.92	$91.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.92 / $41.92 / $41.92	Professional		$41.92	$41.92	$41.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.72 / $33.72 / $33.72	Facility		$33.72	$33.72	$33.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.62 / $31.05 / $57.00	Professional		$24.62	$31.05	$57.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $49.32 / $86.38	Professional		$37.47	$49.32	$86.38
United Facility/Professional Professional Modifier Low / Median / High Price $16.39 / $24.60 / $41.00	Professional		$16.39	$24.60	$41.00