Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $724.44 / $794.33	Facility		$67.61	$724.44	$794.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $147.91 / $229.09	Professional		$141.25	$147.91	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $125.89 / $147.91	Professional		$107.15	$125.89	$147.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $169.82 / $346.74	Facility		$144.54	$169.82	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Professional		$151.36	$151.36	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $154.88 / $154.88	Facility		$154.88	$154.88	$154.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $208.93 / $208.93	Professional		$104.71	$208.93	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $229.09 / $323.59	Facility		$125.89	$229.09	$323.59
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $186.21 / $257.04	Professional		$147.91	$186.21	$257.04