Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.46 / $104.08 / $164.15	Professional		$87.46	$104.08	$164.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.24 / $115.24 / $115.24	Professional		$115.24	$115.24	$115.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $199.28 / $199.28 / $199.28	Facility		$199.28	$199.28	$199.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $159.82 / $363.74	Professional		$15.98	$159.82	$363.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $17.75 / $155.09 / $321.23	Facility		$17.75	$155.09	$321.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.94 / $127.04 / $206.81	Professional		$16.94	$127.04	$206.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.68 / $130.68 / $171.51	Facility		$130.68	$130.68	$171.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.08 / $130.68 / $241.50	Professional		$111.08	$130.68	$241.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.44 / $199.28 / $902.00	Professional		$151.44	$199.28	$902.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.54 / $116.32 / $215.10	Professional		$71.54	$116.32	$215.10