Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.35 / $244.57 / $430.68	Facility		$90.35	$244.57	$430.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.57 / $90.35 / $157.13	Professional		$51.57	$90.35	$157.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $81.52 / $81.52	Professional		$81.52	$81.52	$81.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.48 / $173.57 / $470.08	Facility		$88.48	$173.57	$470.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $67.09 / $205.43	Professional		$50.31	$67.09	$205.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.99 / $135.86 / $217.38	Facility		$86.99	$135.86	$217.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.14 / $298.89 / $419.02	Facility		$121.14	$298.89	$419.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $165.61 / $207.01	Professional		$83.87	$165.61	$207.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.46 / $176.62 / $258.50	Professional		$148.46	$176.62	$258.50
United Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $81.52 / $135.86	Professional		$46.70	$81.52	$135.86