Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.50 / $211.30 / $290.37	Professional		$159.50	$211.30	$290.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.55 / $158.55 / $315.10	Professional		$158.55	$158.55	$315.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.53 / $378.53 / $378.53	Facility		$378.53	$378.53	$378.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.50 / $295.02 / $690.90	Professional		$29.50	$295.02	$690.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.17 / $254.47 / $610.16	Facility		$32.17	$254.47	$610.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $241.32 / $339.29	Professional		$32.17	$241.32	$339.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $263.45 / $325.44	Facility		$263.45	$263.45	$325.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.93 / $263.45 / $548.44	Professional		$223.93	$263.45	$548.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.68 / $378.53 / $887.00	Professional		$287.68	$378.53	$887.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.99 / $212.51 / $367.50	Professional		$132.99	$212.51	$367.50