Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.90 / $783.71 / $1,567.42	Facility		$158.90	$783.71	$1,567.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.90 / $225.63 / $257.77	Professional		$158.90	$225.63	$257.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.51 / $272.70 / $495.86	Professional		$151.51	$272.70	$495.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $381.43 / $534.00 / $1,399.85	Facility		$381.43	$534.00	$1,399.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.36 / $317.16 / $608.95	Professional		$203.36	$317.16	$608.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $324.22 / $420.17 / $705.65	Facility		$324.22	$420.17	$705.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $324.22 / $324.22 / $324.22	Professional		$324.22	$324.22	$324.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $248.05 / $248.05 / $248.05	Facility		$248.05	$248.05	$248.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.08 / $241.44 / $442.13	Professional		$181.08	$241.44	$442.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $289.89 / $381.43 / $530.04	Professional		$289.89	$381.43	$530.04
United Facility/Professional Professional Modifier Low / Median / High Price $149.00 / $190.30 / $317.16	Professional		$149.00	$190.30	$317.16