Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $676.08 / $933.25	Professional		$562.34	$676.08	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $870.96 / $3,090.30	Professional		$478.63	$870.96	$3,090.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $1,023.29 / $1,380.38	Professional		$104.71	$1,023.29	$1,380.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $117.49 / $1,096.48	Facility		$114.82	$117.49	$1,096.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $117.49	Professional		$114.82	$114.82	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $954.99	Facility		$794.33	$794.33	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $794.33 / $1,584.89	Professional		$107.15	$794.33	$1,584.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.13 / $1,445.44 / $2,290.87	Professional		$1,047.13	$1,445.44	$2,290.87
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $363.08 / $891.25	Facility		$47.86	$363.08	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $616.60 / $1,096.48	Professional		$363.08	$616.60	$1,096.48