Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.69 / $219.69 / $622.29	Facility		$219.69	$219.69	$622.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.69 / $311.95 / $351.50	Professional		$219.69	$311.95	$351.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $314.20 / $390.25 / $390.25	Professional		$314.20	$390.25	$390.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.36 / $738.30 / $1,935.41	Facility		$527.36	$738.30	$1,935.41
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.14 / $438.49 / $841.90	Professional		$281.14	$438.49	$841.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $448.26 / $547.53 / $975.62	Facility		$448.26	$547.53	$975.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $448.26 / $448.26 / $448.26	Professional		$448.26	$448.26	$448.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $329.53 / $329.53 / $329.53	Facility		$329.53	$329.53	$329.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $240.56 / $329.53 / $611.25	Professional		$240.56	$329.53	$611.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $400.79 / $527.36 / $732.68	Professional		$400.79	$527.36	$732.68
United Facility/Professional Professional Modifier Low / Median / High Price $175.40 / $263.08 / $434.06	Professional		$175.40	$263.08	$434.06