Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $812.83	Facility		$275.42	$275.42	$812.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $616.60	Professional		$275.42	$371.54	$616.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,584.89 / $2,454.71	Facility		$676.08	$1,584.89	$2,454.71
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $549.54 / $891.25	Professional		$354.81	$549.54	$891.25
CareSource Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Facility		$562.34	$562.34	$562.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $562.34	Professional		$562.34	$562.34	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $407.38 / $1,174.90	Facility		$407.38	$407.38	$1,174.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $870.96	Professional		$302.00	$302.00	$870.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $676.08 / $912.01	Professional		$467.74	$676.08	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $457.09 / $524.81	Facility		$245.47	$457.09	$524.81
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $331.13 / $645.65	Professional		$218.78	$331.13	$645.65