Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $645.65	Facility		$251.19	$251.19	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $281.84 / $478.63	Professional		$234.42	$281.84	$478.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $446.68	Professional		$398.11	$398.11	$446.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,288.25 / $1,995.26	Facility		$537.03	$1,288.25	$1,995.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $446.68 / $676.08	Professional		$281.84	$446.68	$676.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Facility		$446.68	$446.68	$446.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $933.25	Facility		$316.23	$316.23	$933.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $229.09 / $645.65	Professional		$229.09	$229.09	$645.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $537.03 / $758.58	Professional		$371.54	$537.03	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $245.47 / $398.11	Facility		$158.49	$245.47	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $263.03 / $512.86	Professional		$177.83	$263.03	$512.86