Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.89 / $69.89 / $166.01	Facility		$69.89	$69.89	$166.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.20 / $78.52 / $109.43	Professional		$66.20	$78.52	$109.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $108.90 / $108.90	Professional		$108.90	$108.90	$108.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.16 / $206.02 / $540.08	Facility		$147.16	$206.02	$540.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.31 / $122.37 / $234.95	Professional		$78.31	$122.37	$234.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $121.41 / $125.09 / $272.25	Facility		$121.41	$125.09	$272.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.09 / $125.09 / $125.09	Professional		$125.09	$125.09	$125.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $81.70 / $81.70	Facility		$81.70	$81.70	$81.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.64 / $81.70 / $169.50	Professional		$59.64	$81.70	$169.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.84 / $147.16 / $204.69	Professional		$111.84	$147.16	$204.69
United Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $73.42 / $143.71	Professional		$48.95	$73.42	$143.71