Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $81.96 / $102.20	Professional		$67.62	$81.96	$102.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $40.72 / $60.00	Professional		$40.72	$40.72	$60.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.26 / $104.45 / $263.27	Professional		$13.26	$104.45	$263.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.93 / $20.16 / $134.78	Facility		$10.93	$20.16	$134.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $11.26 / $21.57	Professional		$11.26	$11.26	$21.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $88.70 / $88.70 / $147.24	Facility		$88.70	$88.70	$147.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $88.70 / $196.88	Professional		$10.41	$88.70	$196.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $37.33 / $37.33	Professional		$37.33	$37.33	$37.33
United Facility/Professional Professional Modifier Low / Median / High Price $6.86 / $13.74 / $121.65	Professional		$6.86	$13.74	$121.65