Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $264.61 / $264.61 / $749.54	Facility		$264.61	$264.61	$749.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $264.61 / $375.74 / $749.54	Professional		$264.61	$375.74	$749.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $327.99 / $470.05 / $470.05	Professional		$327.99	$470.05	$470.05
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.20 / $889.28 / $2,331.17	Facility		$635.20	$889.28	$2,331.17
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.64 / $528.15 / $1,014.05	Professional		$338.64	$528.15	$1,014.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $539.91 / $588.09 / $1,175.11	Facility		$539.91	$588.09	$1,175.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $539.91 / $539.91 / $539.91	Professional		$539.91	$539.91	$539.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.90 / $459.90 / $459.90	Facility		$459.90	$459.90	$459.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.73 / $335.73 / $810.49	Professional		$335.73	$335.73	$810.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $482.75 / $635.20 / $882.93	Professional		$482.75	$635.20	$882.93
United Facility/Professional Professional Modifier Low / Median / High Price $236.89 / $316.89 / $528.15	Professional		$236.89	$316.89	$528.15