Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $269.15 / $331.13	Facility		$61.66	$269.15	$331.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $125.89	Professional		$75.86	$100.00	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $79.43 / $93.33	Professional		$72.44	$79.43	$93.33
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $112.20 / $223.87	Facility		$93.33	$112.20	$223.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $97.72 / $100.00	Professional		$48.98	$97.72	$100.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Professional		$107.15	$107.15	$107.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $51.29 / $66.07	Professional		$32.36	$51.29	$66.07
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $223.87 / $316.23	Facility		$120.23	$223.87	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $117.49 / $169.82	Professional		$95.50	$117.49	$169.82