Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.74 / $132.76 / $209.71	Professional		$111.74	$132.76	$209.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.49 / $149.49 / $149.49	Professional		$149.49	$149.49	$149.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.09 / $250.09 / $250.09	Facility		$250.09	$250.09	$250.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.05 / $202.08 / $400.64	Professional		$20.05	$202.08	$400.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.62 / $206.68 / $403.15	Facility		$21.62	$206.68	$403.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $21.26 / $159.43 / $275.52	Professional		$21.26	$159.43	$275.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.31 / $166.31 / $218.29	Facility		$166.31	$166.31	$218.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.36 / $166.31 / $295.13	Professional		$141.36	$166.31	$295.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $167.37 / $250.09 / $400.14	Professional		$167.37	$250.09	$400.14
United Facility/Professional Professional Modifier Low / Median / High Price $88.09 / $173.48 / $309.55	Professional		$88.09	$173.48	$309.55