Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.58 / $115.75 / $165.90	Professional		$98.58	$115.75	$165.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $100.46 / $100.46	Professional		$100.46	$100.46	$100.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $205.54 / $205.54 / $205.54	Facility		$205.54	$205.54	$205.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.51 / $173.21 / $383.89	Professional		$17.51	$173.21	$383.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $18.55 / $24.90 / $252.78	Facility		$18.55	$24.90	$252.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $18.55 / $18.55 / $24.90	Professional		$18.55	$18.55	$24.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.98 / $123.98 / $195.37	Facility		$123.98	$123.98	$195.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $123.98 / $251.25	Professional		$17.16	$123.98	$251.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.04 / $231.24 / $571.00	Professional		$33.04	$231.24	$571.00
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $153.35 / $230.02	Professional		$77.78	$153.35	$230.02