Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.71 / $272.70 / $399.39	Professional		$208.71	$272.70	$399.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $393.67 / $393.67 / $393.67	Professional		$393.67	$393.67	$393.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.28 / $399.33 / $878.12	Professional		$41.28	$399.33	$878.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.89 / $384.82 / $775.41	Facility		$40.89	$384.82	$775.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $306.64 / $648.02	Professional		$40.89	$306.64	$648.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $310.87 / $417.10	Facility		$310.87	$310.87	$417.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.24 / $310.87 / $543.75	Professional		$264.24	$310.87	$543.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.72 / $481.02 / $769.63	Professional		$75.72	$481.02	$769.63
United Facility/Professional Professional Modifier Low / Median / High Price $180.98 / $301.47 / $538.73	Professional		$180.98	$301.47	$538.73