Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.50 / $149.47 / $467.60	Facility		$66.50	$149.47	$467.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.50 / $115.00 / $124.85	Professional		$66.50	$115.00	$124.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $108.59 / $346.00	Facility		$66.22	$108.59	$346.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $140.00	Professional		$30.00	$40.00	$140.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $65.00 / $100.00 / $160.00	Facility		$65.00	$100.00	$160.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $65.00 / $100.00	Professional		$65.00	$65.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.81 / $199.05 / $233.67	Facility		$66.81	$199.05	$233.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.92 / $121.84 / $152.30	Professional		$43.92	$121.84	$152.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.27 / $130.00 / $150.66	Professional		$109.27	$130.00	$150.66
United Facility/Professional Professional Modifier Low / Median / High Price $41.87 / $60.00 / $125.00	Professional		$41.87	$60.00	$125.00