Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.12 / $93.17 / $137.44	Professional		$78.12	$93.17	$137.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $146.09 / $146.09 / $167.95	Professional		$146.09	$146.09	$167.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.22 / $166.22 / $166.22	Facility		$166.22	$166.22	$166.22
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.47 / $130.84 / $275.58	Professional		$13.47	$130.84	$275.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $13.54 / $35.97 / $258.19	Facility		$13.54	$35.97	$258.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.23 / $21.13 / $150.72	Professional		$14.23	$21.13	$150.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $153.76	Facility		$110.00	$110.00	$153.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $110.00 / $234.38	Professional		$13.15	$110.00	$234.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.72 / $196.21 / $956.00	Professional		$27.72	$196.21	$956.00
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $128.28 / $237.52	Professional		$66.00	$128.28	$237.52