Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $56.23	Facility		$56.23	$56.23	$56.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $57.54 / $117.49	Professional		$38.02	$57.54	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $85.11 / $114.82	Professional		$45.71	$85.11	$114.82
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $275.42 / $331.13	Facility		$91.20	$275.42	$331.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $74.13 / $117.49	Professional		$46.77	$74.13	$117.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $123.03 / $141.25	Facility		$89.13	$123.03	$141.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $131.83	Professional		$75.86	$112.20	$131.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $58.88 / $58.88 / $141.25	Facility		$58.88	$58.88	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $43.65 / $102.33	Professional		$43.65	$43.65	$102.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $91.20 / $123.03	Professional		$60.26	$91.20	$123.03
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $63.10 / $67.61	Facility		$30.20	$63.10	$67.61
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $44.67 / $81.28	Professional		$29.51	$44.67	$81.28