Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.01 / $1,608.47 / $11,827.30	Facility		$139.01	$1,608.47	$11,827.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.01 / $197.39 / $231.36	Professional		$139.01	$197.39	$231.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.55 / $238.58 / $433.78	Professional		$132.55	$238.58	$433.78
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $333.68 / $467.15 / $1,224.60	Facility		$333.68	$467.15	$1,224.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.90 / $277.45 / $532.70	Professional		$177.90	$277.45	$532.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.63 / $333.68 / $654.01	Facility		$283.63	$333.68	$654.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $283.63 / $283.63 / $283.63	Professional		$283.63	$283.63	$283.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.59 / $209.59 / $209.59	Facility		$209.59	$209.59	$209.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $209.59 / $414.75	Professional		$153.00	$209.59	$414.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.60 / $333.68 / $463.41	Professional		$253.60	$333.68	$463.41
United Facility/Professional Facility Modifier Low / Median / High Price $102.61 / $219.98 / $250.82	Facility		$102.61	$219.98	$250.82
United Facility/Professional Professional Modifier Low / Median / High Price $110.98 / $166.47 / $274.64	Professional		$110.98	$166.47	$274.64