Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $92.75 / $146.50	Professional		$78.06	$92.75	$146.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.82 / $158.82 / $206.87	Professional		$158.82	$158.82	$206.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.54 / $175.54 / $175.54	Facility		$175.54	$175.54	$175.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $139.44 / $299.20	Professional		$14.08	$139.44	$299.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $142.80 / $282.97	Facility		$15.56	$142.80	$282.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $111.91 / $190.39	Professional		$14.93	$111.91	$190.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $150.25	Facility		$114.47	$114.47	$150.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $114.47 / $202.50	Professional		$97.30	$114.47	$202.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.59 / $175.54 / $280.86	Professional		$25.59	$175.54	$280.86
United Facility/Professional Professional Modifier Low / Median / High Price $71.15 / $107.09 / $176.80	Professional		$71.15	$107.09	$176.80