Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.70 / $48.70 / $137.94	Facility		$48.70	$48.70	$137.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.33 / $55.64 / $81.73	Professional		$44.33	$55.64	$81.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $205.74 / $205.74 / $205.74	Professional		$205.74	$205.74	$205.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.90 / $163.66 / $429.02	Facility		$116.90	$163.66	$429.02
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.49 / $97.20 / $186.62	Professional		$61.49	$97.20	$186.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.06 / $99.37 / $216.27	Facility		$86.06	$99.37	$216.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.37 / $99.37 / $99.37	Professional		$99.37	$99.37	$99.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.22 / $66.22 / $66.22	Facility		$66.22	$66.22	$66.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.34 / $64.09 / $117.38	Professional		$48.34	$64.09	$117.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.84 / $116.90 / $162.28	Professional		$88.84	$116.90	$162.28
United Facility/Professional Professional Modifier Low / Median / High Price $38.88 / $58.32 / $96.21	Professional		$38.88	$58.32	$96.21