Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.66 / $582.84 / $879.08	Professional		$483.66	$582.84	$879.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $927.56 / $927.56 / $927.56	Professional		$927.56	$927.56	$927.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,030.43 / $1,030.43 / $1,030.43	Facility		$1,030.43	$1,030.43	$1,030.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.64 / $818.97 / $1,825.77	Professional		$82.64	$818.97	$1,825.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $84.53 / $656.90 / $1,328.82	Facility		$84.53	$656.90	$1,328.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $87.58 / $656.90 / $875.87	Professional		$87.58	$656.90	$875.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.25 / $670.25 / $971.18	Facility		$670.25	$670.25	$971.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $569.71 / $670.25 / $1,149.75	Professional		$569.71	$670.25	$1,149.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.13 / $1,030.43 / $3,107.00	Professional		$783.13	$1,030.43	$3,107.00
United Facility/Professional Professional Modifier Low / Median / High Price $381.33 / $714.25 / $1,137.03	Professional		$381.33	$714.25	$1,137.03