Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $165.96	Facility		$56.23	$56.23	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $69.18 / $114.82	Professional		$56.23	$69.18	$114.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $100.00 / $194.98	Professional		$75.86	$100.00	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $331.13 / $512.86	Facility		$138.04	$331.13	$512.86
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $173.78	Professional		$72.44	$112.20	$173.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Facility		$114.82	$114.82	$114.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $218.78	Facility		$89.13	$89.13	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $158.49	Professional		$64.57	$64.57	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $186.21	Professional		$91.20	$138.04	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $85.11 / $95.50	Facility		$46.77	$85.11	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $128.82	Professional		$44.67	$67.61	$128.82