Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $217.99 / $217.99 / $617.47	Facility		$217.99	$217.99	$617.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $217.99 / $309.54 / $348.78	Professional		$217.99	$309.54	$348.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $374.14 / $374.14 / $387.23	Professional		$374.14	$374.14	$387.23
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $523.28 / $732.59 / $1,920.44	Facility		$523.28	$732.59	$1,920.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $278.98 / $435.10 / $835.39	Professional		$278.98	$435.10	$835.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $444.79 / $523.28 / $1,025.63	Facility		$444.79	$523.28	$1,025.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $444.79 / $444.79 / $444.79	Professional		$444.79	$444.79	$444.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.50 / $338.50 / $338.50	Facility		$338.50	$338.50	$338.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.11 / $331.23 / $606.75	Professional		$247.11	$331.23	$606.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $397.69 / $523.28 / $727.05	Professional		$397.69	$523.28	$727.05
United Facility/Professional Professional Modifier Low / Median / High Price $174.04 / $261.06 / $430.70	Professional		$174.04	$261.06	$430.70