Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $158.49	Professional		$85.11	$117.49	$158.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $79.43 / $251.19	Professional		$79.43	$79.43	$251.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $125.89 / $1,000.00	Professional		$114.82	$125.89	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $199.53 / $218.78	Facility		$141.25	$199.53	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $562.34	Professional		$117.49	$144.54	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $67.61 / $112.20	Professional		$47.86	$67.61	$112.20