Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.46 / $198.85 / $304.70	Professional		$166.46	$198.85	$304.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $202.11 / $202.11 / $202.11	Professional		$202.11	$202.11	$202.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.31 / $378.31 / $378.31	Facility		$378.31	$378.31	$378.31
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.34 / $295.08 / $605.67	Professional		$30.34	$295.08	$605.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.15 / $312.38 / $609.79	Facility		$32.15	$312.38	$609.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.15 / $241.17 / $432.51	Professional		$32.15	$241.17	$432.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.78 / $243.78 / $327.93	Facility		$243.78	$243.78	$327.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.21 / $243.78 / $430.88	Professional		$207.21	$243.78	$430.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $378.31 / $860.00	Professional		$287.52	$378.31	$860.00
United Facility/Professional Professional Modifier Low / Median / High Price $135.03 / $272.32 / $399.30	Professional		$135.03	$272.32	$399.30