Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $114.82 / $354.81	Facility		$53.70	$114.82	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $131.83	Professional		$70.79	$97.72	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $83.18 / $109.65	Professional		$38.90	$83.18	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $114.82 / $338.84	Facility		$97.72	$114.82	$338.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $89.13	Professional		$87.10	$87.10	$89.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $97.72	Facility		$97.72	$97.72	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $85.11 / $107.15	Professional		$48.98	$85.11	$107.15
United Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $162.18 / $229.09	Facility		$83.18	$162.18	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $102.33 / $151.36	Professional		$87.10	$102.33	$151.36