Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $6,918.31 / $20,892.96	Facility		$30.20	$6,918.31	$20,892.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $54.95	Professional		$30.20	$30.20	$54.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $48.98 / $165.96	Facility		$30.20	$48.98	$165.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $29.51	Facility		$29.51	$29.51	$29.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.55 / $24.55 / $30.20	Facility		$24.55	$24.55	$30.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Professional		$30.20	$30.20	$30.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $33.11 / $407.38	Professional		$30.20	$33.11	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $67.61 / $95.50	Facility		$34.67	$67.61	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $42.66 / $54.95	Professional		$30.20	$42.66	$54.95