Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $467.74 / $1,258.93	Facility		$181.97	$467.74	$1,258.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $758.58	Professional		$173.78	$239.88	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $302.00 / $524.81	Professional		$223.87	$302.00	$524.81
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $912.01 / $1,412.54	Facility		$389.05	$912.01	$1,412.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $316.23 / $478.63	Professional		$64.57	$316.23	$478.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $537.03 / $602.56	Facility		$371.54	$537.03	$602.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $467.74 / $575.44	Professional		$323.59	$467.74	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $602.56	Facility		$208.93	$208.93	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $154.88 / $436.52	Professional		$154.88	$154.88	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $389.05 / $524.81	Professional		$251.19	$389.05	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $165.96 / $229.09	Facility		$107.15	$165.96	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $186.21 / $338.84	Professional		$125.89	$186.21	$338.84