Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $213.80 / $281.84	Professional		$162.18	$213.80	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Facility		$398.11	$398.11	$398.11
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $295.12 / $467.74	Professional		$26.30	$295.12	$467.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $32.36 / $257.04 / $389.05	Facility		$32.36	$257.04	$389.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $245.47 / $338.84	Professional		$32.36	$245.47	$338.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $331.13	Facility		$269.15	$269.15	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $269.15 / $446.68	Professional		$229.09	$269.15	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $398.11 / $630.96	Professional		$281.84	$398.11	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $134.90 / $275.42	Facility		$17.38	$134.90	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $213.80 / $354.81	Professional		$134.90	$213.80	$354.81