Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.44 / $186.90 / $388.84	Facility		$32.44	$186.90	$388.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $80.09 / $105.89	Professional		$54.00	$80.09	$105.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $68.66 / $68.66	Professional		$57.22	$68.66	$68.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.04 / $124.26 / $395.93	Facility		$32.04	$124.26	$395.93
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $45.77 / $102.98	Professional		$23.98	$45.77	$102.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $114.43 / $183.09	Facility		$57.24	$114.43	$183.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $74.38 / $114.43	Professional		$74.38	$74.38	$114.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $251.75 / $317.87	Facility		$75.00	$251.75	$317.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $60.16 / $158.44	Professional		$60.16	$60.16	$158.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $114.43 / $125.87	Professional		$114.43	$114.43	$125.87
United Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $47.96 / $114.43	Professional		$13.30	$47.96	$114.43