Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.99 / $347.84 / $1,268.47	Facility		$139.99	$347.84	$1,268.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.99 / $171.04 / $234.18	Professional		$139.99	$171.04	$234.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.22 / $218.14 / $218.14	Professional		$152.22	$218.14	$218.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.77 / $412.69 / $1,081.83	Facility		$294.77	$412.69	$1,081.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.16 / $245.11 / $470.61	Professional		$157.16	$245.11	$470.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $250.56 / $294.77 / $577.77	Facility		$250.56	$294.77	$577.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $250.56 / $250.56 / $250.56	Professional		$250.56	$250.56	$250.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.69 / $190.69 / $190.69	Facility		$190.69	$190.69	$190.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $139.19 / $186.59 / $341.63	Professional		$139.19	$186.59	$341.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.03 / $294.77 / $535.32	Professional		$224.03	$294.77	$535.32
United Facility/Professional Professional Modifier Low / Median / High Price $98.04 / $147.07 / $242.63	Professional		$98.04	$147.07	$242.63