Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.34 / $53.34 / $126.72	Facility		$53.34	$53.34	$126.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.53 / $65.83 / $88.37	Professional		$50.53	$65.83	$88.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.09 / $101.09 / $101.09	Professional		$101.09	$101.09	$101.09
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.32 / $157.25 / $412.21	Facility		$112.32	$157.25	$412.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.89 / $93.39 / $179.31	Professional		$59.89	$93.39	$179.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.47 / $115.27 / $207.79	Facility		$95.47	$115.27	$207.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.47 / $95.47 / $95.47	Professional		$95.47	$95.47	$95.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.80 / $75.80 / $75.80	Facility		$75.80	$75.80	$75.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.33 / $75.80 / $143.82	Professional		$55.33	$75.80	$143.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.36 / $112.32 / $196.21	Professional		$85.36	$112.32	$196.21
United Facility/Professional Facility Modifier Low / Median / High Price $71.80 / $71.80 / $71.80	Facility		$71.80	$71.80	$71.80
United Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $56.03 / $92.46	Professional		$37.36	$56.03	$92.46