Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.12 / $120.14 / $171.98	Professional		$101.12	$120.14	$171.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.54 / $194.24 / $239.05	Professional		$130.54	$194.24	$239.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $198.27 / $198.27 / $198.27	Facility		$198.27	$198.27	$198.27
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.48 / $159.01 / $356.97	Professional		$17.48	$159.01	$356.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $158.62 / $358.03	Facility		$16.86	$158.62	$358.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $126.40 / $319.74	Professional		$16.86	$126.40	$319.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.72 / $126.72 / $214.48	Facility		$126.72	$126.72	$214.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $126.72 / $207.75	Professional		$107.71	$126.72	$207.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.69 / $198.27 / $639.00	Professional		$150.69	$198.27	$639.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.81 / $179.82 / $278.49	Professional		$99.81	$179.82	$278.49