Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $162.18	Facility		$63.10	$63.10	$162.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $79.43 / $117.49	Professional		$60.26	$79.43	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $104.71	Professional		$100.00	$100.00	$104.71
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $323.59 / $501.19	Facility		$134.90	$323.59	$501.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $109.65 / $181.97	Professional		$70.79	$109.65	$181.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Professional		$112.20	$112.20	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $251.19	Facility		$107.15	$107.15	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $162.18	Professional		$77.62	$77.62	$162.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $134.90 / $199.53	Professional		$95.50	$134.90	$199.53
United Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $66.07 / $107.15	Facility		$41.69	$66.07	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $128.82	Professional		$43.65	$66.07	$128.82