Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.97 / $125.80 / $463.70	Facility		$52.97	$125.80	$463.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.79 / $57.32 / $86.94	Professional		$42.79	$57.32	$86.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.58 / $57.58 / $82.54	Professional		$57.58	$57.58	$82.54
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.54 / $156.16 / $409.35	Facility		$111.54	$156.16	$409.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $92.74 / $178.06	Professional		$51.74	$92.74	$178.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.69 / $96.59 / $206.35	Facility		$84.69	$96.59	$206.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.81 / $94.81 / $94.81	Professional		$94.81	$94.81	$94.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.02 / $71.02 / $71.02	Facility		$71.02	$71.02	$71.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.84 / $68.25 / $113.80	Professional		$51.84	$68.25	$113.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $111.54 / $159.26	Professional		$84.77	$111.54	$159.26
United Facility/Professional Professional Modifier Low / Median / High Price $37.10 / $53.32 / $91.78	Professional		$37.10	$53.32	$91.78