Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $89.47 / $141.33	Professional		$75.31	$89.47	$141.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $110.87 / $110.87 / $197.69	Professional		$110.87	$110.87	$197.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $169.81 / $169.81 / $169.81	Facility		$169.81	$169.81	$169.81
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.62 / $136.18 / $309.94	Professional		$13.62	$136.18	$309.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $14.59 / $136.86 / $273.74	Facility		$14.59	$136.86	$273.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.43 / $108.26 / $182.50	Professional		$14.43	$108.26	$182.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.90 / $115.90 / $144.38	Facility		$115.90	$115.90	$144.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $115.90 / $192.00	Professional		$98.52	$115.90	$192.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.06 / $169.81 / $687.00	Professional		$129.06	$169.81	$687.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $99.04 / $185.56	Professional		$61.66	$99.04	$185.56