Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $251.19 / $363.08	Professional		$213.80	$251.19	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $575.44	Professional		$288.40	$338.84	$575.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $363.08 / $562.34	Professional		$37.15	$363.08	$562.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.81 / $398.11 / $562.34	Facility		$39.81	$398.11	$562.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $295.12 / $562.34	Professional		$39.81	$295.12	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $426.58	Facility		$302.00	$302.00	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $524.81	Professional		$257.04	$302.00	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $478.63 / $758.58	Professional		$416.87	$478.63	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $213.80 / $363.08	Facility		$26.92	$213.80	$363.08
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $512.86	Professional		$208.93	$316.23	$512.86