Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.83 / $182.65 / $492.53	Facility		$46.83	$182.65	$492.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $52.62 / $78.34	Professional		$44.37	$52.62	$78.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.93 / $50.93 / $72.97	Professional		$50.93	$50.93	$72.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $98.61 / $138.05 / $361.90	Facility		$98.61	$138.05	$361.90
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.49 / $82.00 / $157.44	Professional		$52.49	$82.00	$157.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.36 / $83.82 / $182.43	Facility		$81.36	$83.82	$182.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $83.82 / $83.82 / $83.82	Professional		$83.82	$83.82	$83.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $66.58 / $66.58	Facility		$66.58	$66.58	$66.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.60 / $62.09 / $113.63	Professional		$48.60	$62.09	$113.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $98.61 / $136.53	Professional		$74.94	$98.61	$136.53
United Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $49.20 / $81.16	Professional		$32.79	$49.20	$81.16