Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.01 / $132.99 / $228.84	Facility		$48.01	$132.99	$228.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.01 / $52.57 / $68.58	Professional		$48.01	$52.57	$68.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $43.31 / $43.31	Professional		$43.31	$43.31	$43.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.94 / $78.39 / $249.78	Facility		$47.94	$78.39	$249.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $28.88 / $108.28	Professional		$21.66	$28.88	$108.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.58 / $72.19 / $115.50	Facility		$57.58	$72.19	$115.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $158.82 / $200.31	Facility		$66.00	$158.82	$200.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.81 / $87.97 / $109.96	Professional		$32.81	$87.97	$109.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $78.88 / $83.02 / $108.76	Professional		$78.88	$83.02	$108.76
United Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $43.31 / $90.24	Professional		$31.76	$43.31	$90.24