Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.33 / $158.55 / $1,378.26	Facility		$36.33	$158.55	$1,378.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $81.97 / $182.98	Professional		$33.29	$81.97	$182.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.76 / $52.76 / $52.76	Professional		$52.76	$52.76	$52.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $54.08 / $101.71	Professional		$34.36	$54.08	$101.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $205.63 / $205.63 / $205.63	Facility		$205.63	$205.63	$205.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.82 / $58.82 / $2,500.00	Facility		$58.82	$58.82	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.06 / $115.12 / $262.72	Professional		$45.06	$115.12	$262.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $105.74 / $313.00	Professional		$40.29	$105.74	$313.00
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.07 / $157.38 / $241.44	Professional		$86.07	$157.38	$241.44