Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.19 / $237.24 / $337.00	Professional		$201.19	$237.24	$337.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.83 / $272.83 / $272.83	Professional		$272.83	$272.83	$272.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.06 / $349.85 / $801.84	Professional		$35.06	$349.85	$801.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.74 / $53.68 / $321.30	Facility		$38.74	$53.68	$321.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $38.74 / $53.68	Professional		$38.74	$38.74	$53.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $256.50 / $256.50 / $386.04	Facility		$256.50	$256.50	$386.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.83 / $256.50 / $543.75	Professional		$35.83	$256.50	$543.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.50 / $304.27 / $1,646.00	Professional		$36.50	$304.27	$1,646.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.02 / $224.38 / $351.50	Professional		$124.02	$224.38	$351.50