Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $180.00	Professional		$125.00	$125.00	$180.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.57 / $110.00 / $110.00	Professional		$90.57	$110.00	$110.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $90.00 / $103.28	Facility		$90.00	$90.00	$103.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.00 / $120.00 / $125.00	Facility		$90.00	$120.00	$125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $118.65 / $130.97	Professional		$90.00	$118.65	$130.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $120.00 / $211.00	Professional		$110.00	$120.00	$211.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $80.00	Professional		$80.00	$80.00	$80.00