Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.86 / $182.86 / $182.86	Facility		$182.86	$182.86	$182.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.92 / $182.86 / $182.86	Professional		$108.92	$182.86	$182.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.30 / $126.30 / $126.30	Professional		$126.30	$126.30	$126.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.87 / $57.50 / $57.50	Professional		$48.87	$57.50	$57.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $21.23 / $21.23 / $21.23	Facility		$21.23	$21.23	$21.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.56 / $179.84 / $179.84	Professional		$6.56	$179.84	$179.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $92.77 / $335.00 / $335.00	Professional		$92.77	$335.00	$335.00