Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $288.40	Professional		$158.49	$204.17	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $354.81	Professional		$269.15	$354.81	$354.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $389.05 / $389.05	Facility		$389.05	$389.05	$389.05
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $281.84 / $467.74	Professional		$28.18	$281.84	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $323.59 / $446.68	Facility		$32.36	$323.59	$446.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $245.47 / $446.68	Professional		$32.36	$245.47	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $245.47 / $346.74	Facility		$245.47	$245.47	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $426.58	Professional		$208.93	$245.47	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $380.19 / $416.87	Professional		$302.00	$380.19	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $151.36 / $257.04	Facility		$18.20	$151.36	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $234.42 / $371.54	Professional		$141.25	$234.42	$371.54