Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $273.95 / $273.95 / $775.99	Facility		$273.95	$273.95	$775.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.95 / $389.00 / $457.47	Professional		$273.95	$389.00	$457.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $486.64 / $486.64 / $486.64	Professional		$486.64	$486.64	$486.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $657.62 / $920.67 / $2,413.46	Facility		$657.62	$920.67	$2,413.46
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $350.60 / $546.79 / $1,049.85	Professional		$350.60	$546.79	$1,049.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $558.98 / $657.62 / $1,288.94	Facility		$558.98	$657.62	$1,288.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $558.98 / $558.98 / $558.98	Professional		$558.98	$558.98	$558.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $410.92 / $410.92	Facility		$410.92	$410.92	$410.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $410.92 / $864.00	Professional		$299.97	$410.92	$864.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $499.79 / $657.62 / $913.55	Professional		$499.79	$657.62	$913.55
United Facility/Professional Professional Modifier Low / Median / High Price $218.72 / $328.08 / $541.27	Professional		$218.72	$328.08	$541.27