Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.23 / $123.48 / $220.38	Facility		$46.23	$123.48	$220.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.23 / $63.96 / $79.95	Professional		$46.23	$63.96	$79.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.71 / $41.71 / $41.71	Professional		$41.71	$41.71	$41.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.27 / $76.81 / $240.54	Facility		$45.27	$76.81	$240.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $27.81 / $118.16	Professional		$20.85	$27.81	$118.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.19 / $69.52 / $111.23	Facility		$45.19	$69.52	$111.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.34 / $152.94 / $192.78	Facility		$69.34	$152.94	$192.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $93.44 / $105.84	Professional		$80.12	$93.44	$105.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $79.95 / $104.74	Professional		$75.97	$79.95	$104.74
United Facility/Professional Professional Modifier Low / Median / High Price $29.20 / $41.71 / $69.52	Professional		$29.20	$41.71	$69.52