Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.67 / $281.20 / $444.20	Professional		$236.67	$281.20	$444.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $263.04 / $263.04 / $263.04	Professional		$263.04	$263.04	$263.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.96 / $537.96 / $537.96	Facility		$537.96	$537.96	$537.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.15 / $426.29 / $921.57	Professional		$43.15	$426.29	$921.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.59 / $422.19 / $867.19	Facility		$46.59	$422.19	$867.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.73 / $342.96 / $562.90	Professional		$45.73	$342.96	$562.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.55 / $353.55 / $464.03	Facility		$353.55	$353.55	$464.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.52 / $353.55 / $645.00	Professional		$300.52	$353.55	$645.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.98 / $537.96 / $860.74	Professional		$63.98	$537.96	$860.74
United Facility/Professional Professional Modifier Low / Median / High Price $186.57 / $281.27 / $522.29	Professional		$186.57	$281.27	$522.29