Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $38.02 / $107.70	Facility		$38.02	$38.02	$107.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $45.80 / $60.83	Professional		$38.02	$45.80	$60.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.13 / $67.54 / $132.34	Professional		$47.13	$67.54	$132.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $91.27 / $127.78 / $334.96	Facility		$91.27	$127.78	$334.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.05 / $75.89 / $145.71	Professional		$49.05	$75.89	$145.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.27 / $77.58 / $168.85	Facility		$75.27	$77.58	$168.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.58 / $77.58 / $77.58	Professional		$77.58	$77.58	$77.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.66 / $50.66 / $50.66	Facility		$50.66	$50.66	$50.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.97 / $50.66 / $105.38	Professional		$36.97	$50.66	$105.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.37 / $91.27 / $126.92	Professional		$69.37	$91.27	$126.92
United Facility/Professional Professional Modifier Low / Median / High Price $30.36 / $45.53 / $89.13	Professional		$30.36	$45.53	$89.13