Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $141.25 / $181.97	Facility		$117.49	$141.25	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $158.49 / $229.09	Professional		$123.03	$158.49	$229.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $234.42	Professional		$134.90	$162.18	$234.42
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $134.90 / $169.82 / $186.21	Professional	25	$134.90	$169.82	$186.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $177.83 / $275.42	Professional		$112.20	$177.83	$275.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $257.04 / $478.63	Facility		$257.04	$257.04	$478.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $181.97 / $239.88	Professional		$131.83	$181.97	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $263.03	Professional		$181.97	$223.87	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $446.68	Professional		$131.83	$186.21	$446.68