Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.70 / $25.70 / $77.62	Facility		$25.70	$25.70	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $28.18 / $52.48	Professional		$23.99	$28.18	$52.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $46.77 / $123.03	Professional		$38.02	$46.77	$123.03
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $151.36 / $234.42	Facility		$64.57	$151.36	$234.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $52.48 / $79.43	Professional		$33.88	$52.48	$79.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Professional		$53.70	$53.70	$53.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $91.20	Facility		$34.67	$34.67	$91.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $25.12 / $64.57	Professional		$25.12	$25.12	$64.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $64.57 / $87.10	Professional		$37.15	$64.57	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $34.67 / $39.81	Facility		$19.50	$34.67	$39.81
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $31.62 / $54.95	Professional		$20.89	$31.62	$54.95