Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.63 / $56.26 / $56.26	Facility		$37.63	$56.26	$56.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $57.17 / $81.42	Professional		$28.80	$57.17	$81.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.29 / $45.87 / $88.85	Professional		$35.29	$45.87	$88.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.85 / $124.39 / $326.08	Facility		$88.85	$124.39	$326.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.77 / $73.87 / $169.03	Professional		$54.77	$73.87	$169.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.52 / $124.39 / $155.49	Facility		$75.52	$124.39	$155.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.52 / $88.85 / $124.39	Professional		$75.52	$88.85	$124.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.47 / $59.47 / $59.47	Facility		$59.47	$59.47	$59.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.41 / $43.41 / $103.13	Professional		$43.41	$43.41	$103.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.85 / $88.85 / $121.92	Professional		$88.85	$88.85	$121.92
United Facility/Professional Professional Modifier Low / Median / High Price $29.55 / $44.32 / $73.12	Professional		$29.55	$44.32	$73.12