Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $85.11 / $125.89	Professional		$75.86	$85.11	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $173.78 / $173.78	Facility		$173.78	$173.78	$173.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $131.83 / $213.80	Professional		$12.88	$131.83	$213.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $138.04 / $181.97	Facility		$14.45	$138.04	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $107.15 / $181.97	Professional		$14.45	$107.15	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $144.54	Facility		$114.82	$114.82	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $190.55	Professional		$97.72	$114.82	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $281.84	Professional		$141.25	$173.78	$281.84
United Facility/Professional Facility Modifier Low / Median / High Price $7.59 / $61.66 / $117.49	Facility		$7.59	$61.66	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $97.72 / $165.96	Professional		$61.66	$97.72	$165.96