Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.83 / $115.52 / $204.18	Facility		$42.83	$115.52	$204.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.83 / $56.04 / $64.41	Professional		$42.83	$56.04	$64.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.65 / $38.65 / $38.65	Professional		$38.65	$38.65	$38.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $82.29 / $222.86	Facility		$46.49	$82.29	$222.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.85 / $31.81 / $130.29	Professional		$23.85	$31.81	$130.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $36.19 / $64.41 / $103.06	Facility		$36.19	$64.41	$103.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.18 / $141.69 / $198.52	Facility		$64.18	$141.69	$198.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $78.47 / $98.09	Professional		$39.72	$78.47	$98.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.38 / $83.73 / $122.57	Professional		$70.38	$83.73	$122.57
United Facility/Professional Professional Modifier Low / Median / High Price $28.98 / $45.14 / $94.04	Professional		$28.98	$45.14	$94.04