Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.67 / $466.67 / $466.67	Facility		$466.67	$466.67	$466.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $466.67 / $540.34 / $750.30	Professional		$466.67	$540.34	$750.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $564.84 / $564.84 / $564.84	Professional		$564.84	$564.84	$564.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.10 / $765.46 / $1,910.09	Professional		$83.10	$765.46	$1,910.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.23 / $136.61 / $1,113.53	Facility		$85.23	$136.61	$1,113.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $88.07 / $88.07 / $88.07	Professional		$88.07	$88.07	$88.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $546.85 / $546.85 / $546.85	Facility		$546.85	$546.85	$546.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.44 / $739.60 / $1,471.88	Professional		$81.44	$739.60	$1,471.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $735.31 / $967.51 / $1,548.02	Professional		$735.31	$967.51	$1,548.02
United Facility/Professional Professional Modifier Low / Median / High Price $39.63 / $74.41 / $818.92	Professional		$39.63	$74.41	$818.92