Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.88 / $254.11 / $401.38	Professional		$213.88	$254.11	$401.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $445.37 / $445.37 / $576.12	Professional		$445.37	$445.37	$576.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $465.45 / $465.45 / $465.45	Facility		$465.45	$465.45	$465.45
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.33 / $373.28 / $749.22	Professional		$37.33	$373.28	$749.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.57 / $390.17 / $750.30	Facility		$39.57	$390.17	$750.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $296.73 / $560.61	Professional		$39.57	$296.73	$560.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.44 / $299.44 / $425.75	Facility		$299.44	$299.44	$425.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.52 / $299.44 / $526.88	Professional		$254.52	$299.44	$526.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $353.74 / $465.45 / $1,452.00	Professional		$353.74	$465.45	$1,452.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.50 / $352.98 / $629.86	Professional		$209.50	$352.98	$629.86