Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.77 / $181.77 / $797.01	Facility		$181.77	$181.77	$797.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.77 / $258.11 / $293.77	Professional		$181.77	$258.11	$293.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $259.99 / $322.91 / $327.27	Professional		$259.99	$322.91	$327.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $436.36 / $610.90 / $1,601.44	Facility		$436.36	$610.90	$1,601.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.64 / $362.82 / $696.61	Professional		$232.64	$362.82	$696.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $370.91 / $413.29 / $807.27	Facility		$370.91	$413.29	$807.27
CareSource Facility/Professional Professional Modifier Low / Median / High Price $370.91 / $370.91 / $370.91	Professional		$370.91	$370.91	$370.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $311.77 / $311.77	Facility		$311.77	$311.77	$311.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $227.60 / $305.08 / $558.75	Professional		$227.60	$305.08	$558.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.63 / $436.36 / $605.91	Professional		$331.63	$436.36	$605.91
United Facility/Professional Professional Modifier Low / Median / High Price $145.13 / $217.69 / $359.16	Professional		$145.13	$217.69	$359.16