Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $135.68 / $135.68 / $384.31	Facility		$135.68	$135.68	$384.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.68 / $185.99 / $231.02	Professional		$135.68	$185.99	$231.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.86 / $241.01 / $241.01	Professional		$232.86	$241.01	$241.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.69 / $455.97 / $1,195.28	Facility		$325.69	$455.97	$1,195.28
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.63 / $270.80 / $519.94	Professional		$173.63	$270.80	$519.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.83 / $315.51 / $602.53	Facility		$276.83	$315.51	$602.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $276.83 / $276.83 / $276.83	Professional		$276.83	$276.83	$276.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $203.51 / $203.51 / $203.51	Facility		$203.51	$203.51	$203.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $148.56 / $203.51 / $377.63	Professional		$148.56	$203.51	$377.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $247.52 / $325.69 / $452.40	Professional		$247.52	$325.69	$452.40
United Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $162.47 / $268.07	Professional		$108.32	$162.47	$268.07