Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.46 / $53.46 / $126.99	Facility		$53.46	$53.46	$126.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.55 / $54.26 / $89.43	Professional		$41.55	$54.26	$89.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $83.31 / $83.31	Professional		$58.13	$83.31	$83.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.58 / $157.61 / $413.17	Facility		$112.58	$157.61	$413.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.11 / $93.60 / $179.71	Professional		$53.11	$93.60	$179.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.34 / $95.69 / $208.27	Facility		$78.34	$95.69	$208.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $95.69 / $95.69 / $95.69	Professional		$95.69	$95.69	$95.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.55 / $60.55 / $60.55	Facility		$60.55	$60.55	$60.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $59.26 / $108.38	Professional		$44.20	$59.26	$108.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.56 / $112.58 / $165.85	Professional		$85.56	$112.58	$165.85
United Facility/Professional Professional Modifier Low / Median / High Price $37.44 / $53.81 / $93.60	Professional		$37.44	$53.81	$93.60