Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $119.66 / $161.31	Professional		$90.79	$119.66	$161.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.33 / $80.33 / $250.03	Professional		$80.33	$80.33	$250.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.88 / $131.01 / $245.53	Professional		$101.88	$131.01	$245.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $142.87 / $200.02 / $214.31	Facility		$142.87	$200.02	$214.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.01 / $150.01 / $150.01	Professional		$150.01	$150.01	$150.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.29 / $58.29 / $58.29	Professional		$58.29	$58.29	$58.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.30 / $142.87 / $632.00	Professional		$114.30	$142.87	$632.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $68.30 / $111.81	Professional		$47.52	$68.30	$111.81