Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.23 / $132.16 / $630.01	Facility		$71.23	$132.16	$630.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.22 / $158.99 / $198.74	Professional		$120.22	$158.99	$198.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.79 / $74.79 / $198.74	Professional		$74.79	$74.79	$198.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.22 / $215.81 / $687.64	Facility		$55.22	$215.81	$687.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.98 / $45.77 / $178.86	Professional		$23.98	$45.77	$178.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.37 / $198.74 / $317.98	Facility		$103.37	$198.74	$317.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.18 / $129.18 / $198.74	Professional		$129.18	$129.18	$198.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.04 / $239.82 / $464.89	Facility		$59.04	$239.82	$464.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.16 / $60.16 / $274.69	Professional		$60.16	$60.16	$274.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.74 / $218.61 / $996.00	Professional		$198.74	$218.61	$996.00
United Facility/Professional Professional Modifier Low / Median / High Price $27.61 / $85.05 / $198.74	Professional		$27.61	$85.05	$198.74