Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.49 / $36.49 / $103.34	Facility		$36.49	$36.49	$103.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $44.73 / $68.06	Professional		$36.49	$44.73	$68.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.18 / $62.62 / $64.81	Professional		$52.18	$62.62	$64.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $87.58 / $122.61 / $321.42	Facility		$87.58	$122.61	$321.42
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.69 / $72.81 / $139.81	Professional		$46.69	$72.81	$139.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $74.44 / $162.02	Facility		$67.98	$74.44	$162.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $74.44 / $74.44	Professional		$74.44	$74.44	$74.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $51.74 / $51.74	Facility		$51.74	$51.74	$51.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $37.77 / $107.08	Professional		$37.77	$37.77	$107.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $87.58 / $121.62	Professional		$66.56	$87.58	$121.62
United Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $43.69 / $72.08	Professional		$29.13	$43.69	$72.08