Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $565.50 / $671.88 / $1,039.30	Professional		$565.50	$671.88	$1,039.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $647.73 / $1,179.40 / $1,295.46	Professional		$647.73	$1,179.40	$1,295.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.59 / $1,103.90 / $2,465.41	Professional		$105.59	$1,103.90	$2,465.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.19 / $117.08 / $1,090.01	Facility		$110.19	$117.08	$1,090.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $115.16 / $117.08	Professional		$115.16	$115.16	$117.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $795.00 / $950.31	Facility		$795.00	$795.00	$950.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $795.00 / $1,571.25	Professional		$106.49	$795.00	$1,571.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,035.41 / $1,444.80 / $2,311.67	Professional		$1,035.41	$1,444.80	$2,311.67
United Facility/Professional Professional Modifier Low / Median / High Price $363.33 / $617.44 / $1,092.39	Professional		$363.33	$617.44	$1,092.39