Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $47.64 / $66.63	Professional		$40.71	$47.64	$66.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.43 / $109.43 / $109.43	Professional		$109.43	$109.43	$109.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.90 / $90.90 / $90.90	Facility		$90.90	$90.90	$90.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $72.98 / $165.91	Professional		$7.29	$72.98	$165.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.05 / $75.68 / $191.34	Facility		$8.05	$75.68	$191.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $7.73 / $57.95 / $100.90	Professional		$7.73	$57.95	$100.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.23 / $64.23 / $79.36	Facility		$64.23	$64.23	$79.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.60 / $64.23 / $138.75	Professional		$54.60	$64.23	$138.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $90.90 / $366.00	Professional		$69.08	$90.90	$366.00
United Facility/Professional Professional Modifier Low / Median / High Price $36.58 / $57.37 / $109.96	Professional		$36.58	$57.37	$109.96