Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.95 / $555.95 / $736.50	Facility		$555.95	$555.95	$736.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $492.35 / $732.13 / $1,005.44	Professional		$492.35	$732.13	$1,005.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.78 / $39.78 / $39.78	Professional		$39.78	$39.78	$39.78
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.22 / $757.40 / $2,163.89	Professional		$121.22	$757.40	$2,163.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.21 / $660.47 / $1,141.80	Facility		$112.21	$660.47	$1,141.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $97.57 / $732.94 / $1,091.96	Professional		$97.57	$732.94	$1,091.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $1,017.80	Facility		$64.00	$64.00	$1,017.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.60 / $750.60 / $750.60	Professional		$750.60	$750.60	$750.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.21 / $981.90 / $2,503.00	Professional		$437.21	$981.90	$2,503.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.84 / $105.64 / $952.43	Professional		$41.84	$105.64	$952.43