Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.66 / $202.25 / $325.93	Professional		$173.66	$202.25	$325.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.18 / $269.19 / $461.25	Professional		$269.18	$269.19	$461.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $382.76 / $382.76 / $382.76	Facility		$382.76	$382.76	$382.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.71 / $301.45 / $677.40	Professional		$31.71	$301.45	$677.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.54 / $312.77 / $617.01	Facility		$32.54	$312.77	$617.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.54 / $244.01 / $443.11	Professional		$32.54	$244.01	$443.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.42 / $243.42 / $345.92	Facility		$243.42	$243.42	$345.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.91 / $243.42 / $431.25	Professional		$206.91	$243.42	$431.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $382.76 / $612.41	Professional		$50.12	$382.76	$612.41
United Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $205.36 / $371.61	Professional		$136.91	$205.36	$371.61