Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $70.79 / $112.20	Professional		$58.88	$70.79	$112.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $109.65 / $158.49	Professional		$79.43	$109.65	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Facility		$138.04	$138.04	$138.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $104.71 / $165.96	Professional		$10.47	$104.71	$165.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $107.15 / $158.49	Facility		$11.48	$107.15	$158.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $87.10 / $141.25	Professional		$11.48	$87.10	$141.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $117.49	Facility		$91.20	$91.20	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $91.20 / $158.49	Professional		$77.62	$91.20	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $128.82 / $190.55	Professional		$107.15	$128.82	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $56.23 / $100.00	Facility		$6.92	$56.23	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $87.10 / $134.90	Professional		$53.70	$87.10	$134.90