Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.13 / $210.13 / $278.37	Facility		$210.13	$210.13	$278.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $210.13 / $262.73 / $379.76	Professional		$210.13	$262.73	$379.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $60.00 / $60.00	Professional		$60.00	$60.00	$60.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $362.40 / $827.09	Professional		$36.14	$362.40	$827.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.10 / $65.34 / $93.36	Facility		$41.10	$65.34	$93.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.47 / $54.07 / $74.69	Professional		$41.47	$54.07	$74.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.07 / $417.07 / $417.07	Facility		$417.07	$417.07	$417.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.57 / $61.57 / $102.05	Professional		$61.57	$61.57	$102.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $68.25 / $70.30	Professional		$68.25	$68.25	$70.30
United Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $25.15 / $70.68	Professional		$15.81	$25.15	$70.68