Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $691.83 / $1,778.28	Facility		$269.15	$691.83	$1,778.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $309.03 / $562.34	Professional		$239.88	$309.03	$562.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $436.52 / $1,047.13	Professional		$316.23	$436.52	$1,047.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,380.38 / $2,137.96	Facility		$575.44	$1,380.38	$2,137.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $467.74 / $707.95	Professional		$281.84	$467.74	$707.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Facility		$478.63	$478.63	$478.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $891.25	Facility		$316.23	$316.23	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $660.69	Professional		$229.09	$229.09	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $575.44 / $794.33	Professional		$380.19	$575.44	$794.33
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $245.47 / $338.84	Facility		$158.49	$245.47	$338.84
United Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $275.42 / $489.78	Professional		$190.55	$275.42	$489.78