Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.51 / $287.51 / $2,883.13	Facility		$287.51	$287.51	$2,883.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $287.51 / $340.95 / $517.29	Professional		$287.51	$340.95	$517.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.13 / $510.73 / $517.64	Professional		$274.13	$510.73	$517.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $690.18 / $966.25 / $2,532.96	Facility		$690.18	$966.25	$2,532.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $363.12 / $573.86 / $1,101.81	Professional		$363.12	$573.86	$1,101.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $507.47 / $586.65 / $1,276.83	Facility		$507.47	$586.65	$1,276.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $586.65 / $586.65 / $586.65	Professional		$586.65	$586.65	$586.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $380.63	Facility		$380.63	$380.63	$380.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.86 / $377.90 / $692.25	Professional		$277.86	$377.90	$692.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.54 / $690.18 / $959.46	Professional		$524.54	$690.18	$959.46
United Facility/Professional Professional Modifier Low / Median / High Price $233.21 / $344.32 / $568.04	Professional		$233.21	$344.32	$568.04