Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.73 / $83.73 / $416.87	Facility		$83.73	$83.73	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.73 / $114.26 / $133.97	Professional		$83.73	$114.26	$133.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $143.72 / $143.72 / $143.72	Professional		$143.72	$143.72	$143.72
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.99 / $281.39 / $737.63	Facility		$200.99	$281.39	$737.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.17 / $167.13 / $320.89	Professional		$107.17	$167.13	$320.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.37 / $194.15 / $371.83	Facility		$166.37	$194.15	$371.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $170.84 / $170.84 / $170.84	Professional		$170.84	$170.84	$170.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $122.31 / $122.31 / $122.31	Facility		$122.31	$122.31	$122.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $122.31 / $226.88	Professional		$89.29	$122.31	$226.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.75 / $200.99 / $279.11	Professional		$152.75	$200.99	$279.11
United Facility/Professional Professional Modifier Low / Median / High Price $66.84 / $100.28 / $165.45	Professional		$66.84	$100.28	$165.45