Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.44 / $144.44 / $1,356.10	Facility		$144.44	$144.44	$1,356.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.44 / $205.10 / $260.56	Professional		$144.44	$205.10	$260.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $137.72 / $247.91 / $450.76	Professional		$137.72	$247.91	$450.76
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $485.44 / $1,272.54	Facility		$346.74	$485.44	$1,272.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $184.85 / $288.30 / $553.54	Professional		$184.85	$288.30	$553.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $294.73 / $392.96 / $641.47	Facility		$294.73	$392.96	$641.47
CareSource Facility/Professional Professional Modifier Low / Median / High Price $294.73 / $294.73 / $294.73	Professional		$294.73	$294.73	$294.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $232.98 / $232.98 / $232.98	Facility		$232.98	$232.98	$232.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.08 / $232.98 / $463.27	Professional		$170.08	$232.98	$463.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.52 / $346.74 / $481.56	Professional		$263.52	$346.74	$481.56
United Facility/Professional Professional Modifier Low / Median / High Price $150.59 / $172.98 / $385.91	Professional		$150.59	$172.98	$385.91