Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $1,122.02 / $1,698.24	Facility		$426.58	$1,122.02	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $489.78 / $1,071.52	Professional		$407.38	$489.78	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $724.44 / $1,230.27	Professional		$724.44	$724.44	$1,230.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $2,187.76 / $3,388.44	Facility		$933.25	$2,187.76	$3,388.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $758.58 / $1,148.15	Professional		$489.78	$758.58	$1,148.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Facility		$776.25	$776.25	$776.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,445.44	Facility		$512.86	$512.86	$1,445.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $371.54 / $1,023.29	Professional		$371.54	$371.54	$1,023.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $1,258.93	Professional		$602.56	$933.25	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $398.11 / $562.34	Facility		$251.19	$398.11	$562.34
United Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $446.68 / $851.14	Professional		$302.00	$446.68	$851.14