Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $131.83 / $398.11	Facility		$69.18	$131.83	$398.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $75.86 / $138.04	Professional		$70.79	$75.86	$138.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $85.11	Professional		$56.23	$67.61	$85.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $87.10 / $263.03	Facility		$74.13	$87.10	$263.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Professional		$70.79	$70.79	$70.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $70.79	Facility		$70.79	$70.79	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Facility		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $75.86 / $83.18	Professional		$37.15	$75.86	$83.18
United Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $138.04 / $194.98	Facility		$70.79	$138.04	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $89.13 / $125.89	Professional		$72.44	$89.13	$125.89