Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $75.86 / $107.15	Facility		$70.79	$75.86	$107.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $89.13 / $141.25	Professional		$67.61	$89.13	$141.25
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	25	$87.10	$87.10	$87.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $134.90	Professional		$81.28	$100.00	$134.90
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $85.11 / $104.71 / $123.03	Professional	25	$85.11	$104.71	$123.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $100.00 / $151.36	Professional		$79.43	$100.00	$151.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $263.03	Facility		$151.36	$151.36	$263.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $100.00 / $131.83	Professional		$74.13	$100.00	$131.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $169.82	Professional		$109.65	$134.90	$169.82
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $104.71 / $263.03	Professional		$85.11	$104.71	$263.03