Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.16 / $47.16 / $112.01	Facility		$47.16	$47.16	$112.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.44 / $59.57 / $73.03	Professional		$45.44	$59.57	$73.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.27 / $51.27 / $51.27	Professional		$51.27	$51.27	$51.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $99.30 / $139.02 / $364.43	Facility		$99.30	$139.02	$364.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.93 / $82.56 / $158.52	Professional		$52.93	$82.56	$158.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.41 / $98.96 / $183.71	Facility		$84.41	$98.96	$183.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.41 / $84.41 / $84.41	Professional		$84.41	$84.41	$84.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.27 / $73.27 / $73.27	Facility		$73.27	$73.27	$73.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.49 / $66.64 / $121.88	Professional		$53.49	$66.64	$121.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $99.30 / $177.02	Professional		$75.47	$99.30	$177.02
United Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $49.54 / $81.72	Professional		$33.02	$49.54	$81.72