Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.74 / $43.74 / $121.85	Facility		$43.74	$43.74	$121.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $55.25 / $79.13	Professional		$41.57	$55.25	$79.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $55.78 / $68.45	Professional		$55.78	$55.78	$68.45
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.48 / $104.29 / $273.38	Facility		$74.48	$104.29	$273.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.09 / $76.34 / $155.21	Professional		$60.09	$76.34	$155.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.75 / $74.48 / $137.81	Facility		$53.75	$74.48	$137.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.32 / $63.32 / $63.32	Professional		$63.32	$63.32	$63.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.20 / $67.20 / $77.70	Facility		$67.20	$67.20	$77.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.06 / $49.06 / $84.75	Professional		$49.06	$49.06	$84.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $74.48 / $206.88	Professional		$48.57	$74.48	$206.88
United Facility/Professional Professional Modifier Low / Median / High Price $35.93 / $53.89 / $84.32	Professional		$35.93	$53.89	$84.32