Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.22 / $26.22 / $74.25	Facility		$26.22	$26.22	$74.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.22 / $30.53 / $41.94	Professional		$26.22	$30.53	$41.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $46.56 / $81.80	Professional		$25.00	$46.56	$81.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.92 / $88.09 / $230.92	Facility		$62.92	$88.09	$230.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.10 / $52.33 / $100.47	Professional		$33.10	$52.33	$100.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $53.48 / $116.40	Facility		$42.66	$53.48	$116.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $53.48 / $53.48 / $53.48	Professional		$53.48	$53.48	$53.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.77 / $34.77 / $34.77	Facility		$34.77	$34.77	$34.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.38 / $25.38 / $67.20	Professional		$25.38	$25.38	$67.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.82 / $62.92 / $87.96	Professional		$47.82	$62.92	$87.96
United Facility/Professional Professional Modifier Low / Median / High Price $20.93 / $31.40 / $51.80	Professional		$20.93	$31.40	$51.80