Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $181.97	Facility		$69.18	$69.18	$181.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $131.83	Professional		$61.66	$75.86	$131.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $354.81 / $549.54	Facility		$151.36	$354.81	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $123.03 / $194.98	Professional		$77.62	$123.03	$194.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Facility		$125.89	$125.89	$125.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $234.42	Facility		$81.28	$81.28	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $169.82	Professional		$60.26	$60.26	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $204.17	Professional		$97.72	$151.36	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $64.57 / $104.71	Facility		$40.74	$64.57	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $144.54	Professional		$48.98	$72.44	$144.54