Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $263.03 / $776.25	Facility		$263.03	$263.03	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $354.81 / $758.58	Professional		$263.03	$354.81	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $478.63 / $602.56	Professional		$389.05	$478.63	$602.56
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,548.82 / $2,398.83	Facility		$645.65	$1,548.82	$2,398.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $524.81 / $831.76	Professional		$338.84	$524.81	$831.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Facility		$537.03	$537.03	$537.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $537.03 / $537.03	Professional		$537.03	$537.03	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $1,071.52	Facility		$457.09	$457.09	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $776.25	Professional		$338.84	$338.84	$776.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $645.65 / $891.25	Professional		$457.09	$645.65	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $234.42 / $426.58 / $478.63	Facility		$234.42	$426.58	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $316.23 / $549.54	Professional		$208.93	$316.23	$549.54