Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $213.80	Professional		$125.89	$151.36	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $154.88 / $194.98	Professional		$147.91	$154.88	$194.98
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $144.54 / $144.54 / $173.78	Professional	25	$144.54	$144.54	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $199.53 / $389.05	Professional		$162.18	$199.53	$389.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $186.21 / $213.80	Facility		$186.21	$186.21	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $181.97 / $436.52	Professional		$173.78	$181.97	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $245.47 / $398.11	Professional		$194.98	$245.47	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $186.21 / $346.74	Professional		$141.25	$186.21	$346.74