Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $269.15 / $1,513.56	Facility		$208.93	$269.15	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $269.15 / $416.87	Professional		$251.19	$269.15	$416.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $263.03 / $269.15	Professional		$229.09	$263.03	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $316.23 / $933.25	Facility		$269.15	$316.23	$933.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $245.47	Professional		$234.42	$234.42	$245.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $263.03	Facility		$263.03	$263.03	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Facility		$269.15	$269.15	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $269.15 / $269.15	Professional		$269.15	$269.15	$269.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $263.03 / $295.12	Professional		$251.19	$263.03	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $512.86 / $724.44	Facility		$263.03	$512.86	$724.44
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $288.40 / $416.87	Professional		$239.88	$288.40	$416.87