Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.28 / $73.28 / $207.56	Facility		$73.28	$73.28	$207.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $82.80 / $117.25	Professional		$46.70	$82.80	$117.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.84 / $90.84 / $115.99	Professional		$90.84	$90.84	$115.99
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.90 / $246.26 / $645.54	Facility		$175.90	$246.26	$645.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.89 / $146.27 / $280.83	Professional		$87.89	$146.27	$280.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.24 / $149.52 / $325.42	Facility		$123.24	$149.52	$325.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $149.52 / $149.52 / $149.52	Professional		$149.52	$149.52	$149.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $126.00 / $128.85 / $128.85	Facility		$126.00	$128.85	$128.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $109.52 / $168.00	Professional		$109.52	$109.52	$168.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $133.68 / $175.90 / $271.29	Professional		$133.68	$175.90	$271.29
United Facility/Professional Professional Modifier Low / Median / High Price $58.51 / $87.76 / $144.97	Professional		$58.51	$87.76	$144.97