Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.46 / $56.46 / $159.91	Facility		$56.46	$56.46	$159.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.46 / $72.79 / $90.33	Professional		$56.46	$72.79	$90.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $193.48 / $193.48 / $193.48	Professional		$193.48	$193.48	$193.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.52 / $189.73 / $497.36	Facility		$135.52	$189.73	$497.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.25 / $112.68 / $216.35	Professional		$72.25	$112.68	$216.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.64 / $117.18 / $250.71	Facility		$103.64	$117.18	$250.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.19 / $115.19 / $115.19	Professional		$115.19	$115.19	$115.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.19 / $89.19 / $89.19	Facility		$89.19	$89.19	$89.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.11 / $87.27 / $159.75	Professional		$65.11	$87.27	$159.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.00 / $135.52 / $188.09	Professional		$103.00	$135.52	$188.09
United Facility/Professional Professional Modifier Low / Median / High Price $45.07 / $67.61 / $111.54	Professional		$45.07	$67.61	$111.54