Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.49 / $196.63 / $310.60	Professional		$165.49	$196.63	$310.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $319.61 / $319.61 / $319.61	Professional		$319.61	$319.61	$319.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $372.69 / $372.69 / $372.69	Facility		$372.69	$372.69	$372.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $296.26 / $597.04	Professional		$29.89	$296.26	$597.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.98 / $301.73 / $600.77	Facility		$31.98	$301.73	$600.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.68 / $237.59 / $402.32	Professional		$31.68	$237.59	$402.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.17 / $243.17 / $319.16	Facility		$243.17	$243.17	$319.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.69 / $243.17 / $436.13	Professional		$206.69	$243.17	$436.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.24 / $372.69 / $1,036.00	Professional		$283.24	$372.69	$1,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.46 / $228.01 / $393.04	Professional		$130.46	$228.01	$393.04