Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $147.91	Facility		$57.54	$57.54	$147.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $64.57 / $107.15	Professional		$53.70	$64.57	$107.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $288.40 / $446.68	Facility		$123.03	$288.40	$446.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $162.18	Professional		$64.57	$100.00	$162.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Professional		$102.33	$102.33	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $75.86 / $218.78	Facility		$75.86	$75.86	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $54.95 / $141.25	Professional		$54.95	$54.95	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $123.03 / $181.97	Professional		$85.11	$123.03	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $58.88 / $81.28	Facility		$38.02	$58.88	$81.28
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $60.26 / $117.49	Professional		$39.81	$60.26	$117.49