Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $154.88 / $323.59	Facility		$83.18	$154.88	$323.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $100.00	Professional		$63.10	$75.86	$100.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $109.65 / $138.04	Facility		$61.66	$109.65	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $131.83	Professional		$39.81	$39.81	$131.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $154.88 / $288.40	Facility		$95.50	$154.88	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $117.49 / $144.54	Professional		$50.12	$117.49	$144.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $181.97	Professional		$104.71	$134.90	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $85.11 / $100.00	Facility		$46.77	$85.11	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $57.54 / $147.91	Professional		$39.81	$57.54	$147.91