Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.25 / $296.25 / $839.18	Facility		$296.25	$296.25	$839.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.25 / $398.87 / $474.00	Professional		$296.25	$398.87	$474.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $282.48 / $508.47 / $924.52	Professional		$282.48	$508.47	$924.52
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $711.17 / $995.64 / $2,609.98	Facility		$711.17	$995.64	$2,609.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $403.73 / $591.32 / $1,135.33	Professional		$403.73	$591.32	$1,135.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $597.29 / $672.08 / $1,315.66	Facility		$597.29	$672.08	$1,315.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $604.49 / $604.49 / $604.49	Professional		$604.49	$604.49	$604.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $440.05 / $440.05 / $440.05	Facility		$440.05	$440.05	$440.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $321.24 / $440.05 / $892.93	Professional		$321.24	$440.05	$892.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.49 / $711.17 / $987.81	Professional		$540.49	$711.17	$987.81
United Facility/Professional Professional Modifier Low / Median / High Price $261.07 / $354.79 / $585.35	Professional		$261.07	$354.79	$585.35