Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.21 / $107.21 / $121.01	Facility		$107.21	$107.21	$121.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.21 / $141.06 / $184.14	Professional		$107.21	$141.06	$184.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $15.00 / $28.77	Professional		$15.00	$15.00	$28.77
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $167.30 / $416.75	Professional		$20.14	$167.30	$416.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.56 / $34.50 / $75.62	Facility		$21.56	$34.50	$75.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.54 / $26.93 / $41.47	Professional		$21.54	$26.93	$41.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.95 / $147.10 / $147.10	Facility		$28.95	$147.10	$147.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $125.04 / $147.10	Professional		$107.38	$125.04	$147.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.31 / $69.31 / $71.39	Professional		$69.31	$69.31	$71.39
United Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $17.98 / $129.47	Professional		$8.06	$17.98	$129.47