Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.08 / $351.00 / $564.90	Facility		$102.08	$351.00	$564.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.08 / $145.83 / $194.79	Professional		$102.08	$145.83	$194.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.10 / $92.10 / $92.10	Professional		$92.10	$92.10	$92.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.50 / $168.85 / $531.11	Facility		$93.50	$168.85	$531.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.05 / $61.40 / $153.50	Professional		$46.05	$61.40	$153.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $138.61 / $153.50 / $245.60	Facility		$138.61	$153.50	$245.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.36 / $241.46 / $337.70	Facility		$81.36	$241.46	$337.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.50 / $191.88 / $220.96	Professional		$153.50	$191.88	$220.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.73 / $176.53 / $231.26	Professional		$167.73	$176.53	$231.26
United Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $92.10 / $153.50	Professional		$64.47	$92.10	$153.50