Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.43 / $42.43 / $100.79	Facility		$42.43	$42.43	$100.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.20 / $47.67 / $67.28	Professional		$40.20	$47.67	$67.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.14 / $46.14 / $46.14	Professional		$46.14	$46.14	$46.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.35 / $125.09 / $327.91	Facility		$89.35	$125.09	$327.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.60 / $74.29 / $142.63	Professional		$46.60	$74.29	$142.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.70 / $75.95 / $165.30	Facility		$73.70	$75.95	$165.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $75.95 / $75.95	Professional		$75.95	$75.95	$75.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $49.61	Facility		$49.61	$49.61	$49.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $36.22 / $103.13	Professional		$36.22	$36.22	$103.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $89.35 / $124.44	Professional		$28.55	$89.35	$124.44
United Facility/Professional Professional Modifier Low / Median / High Price $29.72 / $44.57 / $74.29	Professional		$29.72	$44.57	$74.29