Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.37 / $223.80 / $343.00	Professional		$188.37	$223.80	$343.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.02 / $366.03 / $1,076.30	Professional		$183.02	$366.03	$1,076.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.55 / $326.67 / $731.94	Professional		$28.55	$326.67	$731.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.82 / $38.04 / $449.82	Facility		$35.82	$38.04	$449.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $38.04 / $38.04	Professional		$38.04	$38.04	$38.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $209.52 / $321.39	Facility		$209.52	$209.52	$321.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.65 / $209.52 / $517.50	Professional		$31.65	$209.52	$517.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $304.25 / $504.07 / $993.00	Professional		$304.25	$504.07	$993.00
United Facility/Professional Professional Modifier Low / Median / High Price $131.58 / $210.24 / $368.30	Professional		$131.58	$210.24	$368.30