Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.18 / $95.08 / $146.63	Professional		$79.18	$95.08	$146.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.04 / $164.42 / $167.99	Professional		$83.04	$164.42	$167.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.41 / $164.41 / $164.41	Facility		$164.41	$164.41	$164.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.83 / $139.97 / $279.18	Professional		$13.83	$139.97	$279.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.65 / $20.69 / $172.35	Facility		$14.65	$20.69	$172.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.65 / $14.65 / $20.69	Professional		$14.65	$14.65	$20.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $129.12 / $153.94	Facility		$129.12	$129.12	$153.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $129.12 / $202.50	Professional		$109.75	$129.12	$202.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $192.07 / $484.00	Professional		$27.72	$192.07	$484.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.61 / $111.70 / $180.27	Professional		$64.61	$111.70	$180.27