Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $966.72 / $966.72 / $966.72	Facility		$966.72	$966.72	$966.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $966.72 / $1,148.58 / $1,540.38	Professional		$966.72	$1,148.58	$1,540.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,128.21 / $1,128.21 / $1,128.21	Professional		$1,128.21	$1,128.21	$1,128.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.32 / $1,467.50 / $3,621.71	Professional		$180.32	$1,467.50	$3,621.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.70 / $264.89 / $1,924.86	Facility		$166.70	$264.89	$1,924.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.74 / $173.74 / $173.74	Professional		$173.74	$173.74	$173.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,293.24 / $1,293.24 / $1,293.24	Facility		$1,293.24	$1,293.24	$1,293.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.65 / $1,491.30 / $2,887.50	Professional		$160.65	$1,491.30	$2,887.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $349.77 / $1,950.85 / $6,002.00	Professional		$349.77	$1,950.85	$6,002.00
United Facility/Professional Facility Modifier Low / Median / High Price $117.36 / $822.34 / $1,570.80	Facility		$117.36	$822.34	$1,570.80
United Facility/Professional Professional Modifier Low / Median / High Price $660.99 / $1,158.14 / $2,106.26	Professional		$660.99	$1,158.14	$2,106.26