Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.09 / $244.09 / $691.41	Facility		$244.09	$244.09	$691.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $244.09 / $339.99 / $447.63	Professional		$244.09	$339.99	$447.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $349.11 / $433.60 / $433.60	Professional		$349.11	$433.60	$433.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $585.94 / $820.32 / $2,150.40	Facility		$585.94	$820.32	$2,150.40
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $312.39 / $487.20 / $935.42	Professional		$312.39	$487.20	$935.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $498.05 / $585.94 / $1,148.44	Facility		$498.05	$585.94	$1,148.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $498.05 / $498.05 / $498.05	Professional		$498.05	$498.05	$498.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $379.03 / $379.03	Facility		$379.03	$379.03	$379.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $276.69 / $798.34	Professional		$276.69	$276.69	$798.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.31 / $585.94 / $814.22	Professional		$445.31	$585.94	$814.22
United Facility/Professional Professional Modifier Low / Median / High Price $194.88 / $292.32 / $482.28	Professional		$194.88	$292.32	$482.28