Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $2,344.23 / $7,079.46	Facility		$134.90	$2,344.23	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $138.04 / $309.03	Professional		$87.10	$138.04	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $134.90 / $181.97	Professional		$75.86	$134.90	$181.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,238.72 / $3,548.13	Facility		$794.33	$2,238.72	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $120.23 / $223.87	Professional		$89.13	$120.23	$223.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $134.90 / $346.74	Facility		$109.65	$134.90	$346.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $125.89 / $138.04	Professional		$117.49	$125.89	$138.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $144.54 / $288.40	Professional		$95.50	$144.54	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $147.91 / $186.21	Professional		$102.33	$147.91	$186.21
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $56.23 / $56.23 / $74.13	Professional	52	$56.23	$56.23	$74.13
United Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $1,513.56 / $2,511.89	Facility		$309.03	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $147.91 / $257.04	Professional		$93.33	$147.91	$257.04