Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.01 / $200.50 / $304.58	Professional		$163.01	$200.50	$304.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.59 / $117.59 / $152.86	Professional		$117.59	$117.59	$152.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.57 / $246.50 / $638.92	Professional		$34.57	$246.50	$638.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.49 / $61.06 / $293.76	Facility		$24.49	$61.06	$293.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $25.71 / $25.71 / $25.71	Professional		$25.71	$25.71	$25.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $193.40 / $285.92	Facility		$193.40	$193.40	$285.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $193.40 / $326.25	Professional		$23.77	$193.40	$326.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.64 / $240.00 / $1,078.00	Professional		$74.64	$240.00	$1,078.00
United Facility/Professional Professional Modifier Low / Median / High Price $12.86 / $30.85 / $362.16	Professional		$12.86	$30.85	$362.16