Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.31 / $30.31 / $87.29	Facility		$30.31	$30.31	$87.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.31 / $43.03 / $84.85	Professional		$30.31	$43.03	$84.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.89 / $28.90 / $28.90	Professional		$28.89	$28.90	$28.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $101.84 / $266.95	Facility		$72.73	$101.84	$266.95
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.04 / $60.49 / $116.14	Professional		$39.04	$60.49	$116.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $60.04 / $61.83 / $134.57	Facility		$60.04	$61.83	$134.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.83 / $61.83 / $61.83	Professional		$61.83	$61.83	$61.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.82 / $46.82 / $51.10	Facility		$46.82	$46.82	$51.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $45.81 / $84.00	Professional		$34.18	$45.81	$84.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.46 / $72.73 / $100.84	Professional		$55.46	$72.73	$100.84
United Facility/Professional Professional Modifier Low / Median / High Price $24.20 / $36.29 / $59.88	Professional		$24.20	$36.29	$59.88