Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.34 / $52.34 / $124.32	Facility		$52.34	$52.34	$124.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.84 / $55.28 / $87.55	Professional		$43.84	$55.28	$87.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.91 / $81.56 / $81.56	Professional		$56.91	$81.56	$81.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.21 / $154.29 / $404.47	Facility		$110.21	$154.29	$404.47
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.62 / $91.64 / $175.95	Professional		$52.62	$91.64	$175.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $82.94 / $93.68 / $203.89	Facility		$82.94	$93.68	$203.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.68 / $93.68 / $93.68	Professional		$93.68	$93.68	$93.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.81 / $62.81 / $62.81	Facility		$62.81	$62.81	$62.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.85 / $62.81 / $116.94	Professional		$45.85	$62.81	$116.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.76 / $110.21 / $163.66	Professional		$83.76	$110.21	$163.66
United Facility/Professional Professional Modifier Low / Median / High Price $36.65 / $52.61 / $90.71	Professional		$36.65	$52.61	$90.71