Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.02 / $143.02 / $339.74	Facility		$143.02	$143.02	$339.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.38 / $180.66 / $209.26	Professional		$142.38	$180.66	$209.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $222.87 / $222.87 / $222.87	Professional		$222.87	$222.87	$222.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.17 / $421.64 / $1,105.29	Facility		$301.17	$421.64	$1,105.29
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.57 / $250.42 / $480.81	Professional		$160.57	$250.42	$480.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $255.99 / $301.17 / $590.29	Facility		$255.99	$301.17	$590.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $255.99 / $255.99 / $255.99	Professional		$255.99	$255.99	$255.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $188.19 / $188.19 / $188.19	Facility		$188.19	$188.19	$188.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $188.19 / $349.13	Professional		$137.38	$188.19	$349.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.89 / $301.17 / $547.04	Professional		$228.89	$301.17	$547.04
United Facility/Professional Professional Modifier Low / Median / High Price $100.17 / $150.25 / $247.88	Professional		$100.17	$150.25	$247.88