Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.98 / $111.31 / $178.25	Professional		$89.98	$111.31	$178.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $214.37 / $214.37 / $214.37	Professional		$214.37	$214.37	$214.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.41 / $198.41 / $198.41	Facility		$198.41	$198.41	$198.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $159.12 / $317.83	Professional		$15.91	$159.12	$317.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $165.38 / $319.85	Facility		$16.86	$165.38	$319.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $126.49 / $269.83	Professional		$16.86	$126.49	$269.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.59 / $123.59 / $170.42	Facility		$123.59	$123.59	$170.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.05 / $123.59 / $222.38	Professional		$105.05	$123.59	$222.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $36.26 / $198.41 / $317.45	Professional		$36.26	$198.41	$317.45
United Facility/Professional Professional Modifier Low / Median / High Price $94.83 / $141.16 / $224.08	Professional		$94.83	$141.16	$224.08