Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $181.97	Facility		$70.79	$70.79	$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 $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $363.08 / $549.54	Facility		$151.36	$363.08	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $123.03 / $194.98	Professional		$81.28	$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 $83.18 / $83.18 / $234.42	Facility		$83.18	$83.18	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $104.71	Professional		$61.66	$61.66	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $151.36 / $239.88	Professional		$97.72	$151.36	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $66.07 / $97.72	Facility		$46.77	$66.07	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $74.13 / $144.54	Professional		$48.98	$74.13	$144.54