Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.76 / $64.76 / $183.44	Facility		$64.76	$64.76	$183.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.76 / $78.02 / $103.62	Professional		$64.76	$78.02	$103.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.76 / $111.16 / $202.10	Professional		$61.76	$111.16	$202.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.46 / $217.64 / $570.54	Facility		$155.46	$217.64	$570.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.15 / $129.26 / $248.18	Professional		$88.15	$129.26	$248.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.28 / $132.13 / $287.60	Facility		$128.28	$132.13	$287.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $132.13 / $132.13 / $132.13	Professional		$132.13	$132.13	$132.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $100.03	Facility		$100.03	$100.03	$100.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.02 / $97.88 / $179.25	Professional		$73.02	$97.88	$179.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.15 / $155.46 / $215.78	Professional		$118.15	$155.46	$215.78
United Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $77.56 / $134.52	Professional		$51.70	$77.56	$134.52