Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $81.28 / $213.80	Facility		$81.28	$81.28	$213.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $87.10 / $154.88	Professional		$72.44	$87.10	$154.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $131.83	Professional		$128.82	$128.82	$131.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $416.87 / $645.65	Facility		$177.83	$416.87	$645.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $144.54 / $218.78	Professional		$93.33	$144.54	$218.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Facility		$147.91	$147.91	$147.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $275.42	Facility		$104.71	$104.71	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $199.53	Professional		$75.86	$75.86	$199.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $177.83 / $239.88	Professional		$114.82	$177.83	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $75.86 / $138.04	Facility		$47.86	$75.86	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $85.11 / $151.36	Professional		$57.54	$85.11	$151.36