Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $691.83 / $16,595.87	Facility		$93.33	$691.83	$16,595.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $95.50 / $169.82	Professional		$93.33	$95.50	$169.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $95.50	Professional		$93.33	$93.33	$95.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $102.33 / $512.86	Facility		$32.36	$102.33	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Facility		$95.50	$95.50	$95.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $93.33	Facility		$89.13	$89.13	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $102.33	Professional		$54.95	$54.95	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $177.83 / $251.19	Facility		$91.20	$177.83	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $117.49	Professional		$93.33	$93.33	$117.49