Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.96 / $63.96 / $297.23	Facility		$63.96	$63.96	$297.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $78.17 / $102.34	Professional		$63.96	$78.17	$102.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.79 / $113.62 / $115.16	Professional		$109.79	$113.62	$115.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $153.54 / $214.96 / $563.49	Facility		$153.54	$214.96	$563.49
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $127.67 / $245.13	Professional		$81.86	$127.67	$245.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $130.51 / $135.50 / $284.05	Facility		$130.51	$135.50	$284.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $130.51 / $130.51 / $130.51	Professional		$130.51	$130.51	$130.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $99.32	Facility		$99.32	$99.32	$99.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $97.19 / $178.13	Professional		$72.50	$97.19	$178.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.69 / $153.54 / $213.30	Professional		$116.69	$153.54	$213.30
United Facility/Professional Professional Modifier Low / Median / High Price $66.68 / $76.59 / $153.54	Professional		$66.68	$76.59	$153.54