Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.67 / $55.52 / $86.15	Professional		$45.67	$55.52	$86.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.11 / $57.11 / $94.97	Professional		$57.11	$57.11	$94.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $102.99 / $102.99 / $102.99	Facility		$102.99	$102.99	$102.99
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $82.60 / $165.95	Professional		$8.26	$82.60	$165.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $8.83 / $87.54 / $166.02	Facility		$8.83	$87.54	$166.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $65.65 / $122.21	Professional		$8.76	$65.65	$122.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $66.45 / $92.30	Facility		$66.45	$66.45	$92.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.49 / $66.45 / $116.63	Professional		$56.49	$66.45	$116.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $102.99 / $164.78	Professional		$74.23	$102.99	$164.78
United Facility/Professional Professional Modifier Low / Median / High Price $38.15 / $70.51 / $112.83	Professional		$38.15	$70.51	$112.83