Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.73 / $275.33 / $434.92	Professional		$231.73	$275.33	$434.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $345.63 / $451.97 / $557.65	Professional		$345.63	$451.97	$557.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $519.65 / $519.65 / $519.65	Facility		$519.65	$519.65	$519.65
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $398.43 / $902.30	Professional		$41.68	$398.43	$902.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.17 / $426.66 / $837.68	Facility		$44.17	$426.66	$837.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $44.17 / $331.28 / $568.92	Professional		$44.17	$331.28	$568.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $440.85	Facility		$333.25	$333.25	$440.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $333.25 / $581.63	Professional		$283.26	$333.25	$581.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.05 / $519.65 / $831.44	Professional		$65.05	$519.65	$831.44
United Facility/Professional Professional Modifier Low / Median / High Price $183.24 / $277.91 / $504.51	Professional		$183.24	$277.91	$504.51