Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.00 / $268.00 / $759.15	Facility		$268.00	$268.00	$759.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $268.00 / $380.56 / $475.63	Professional		$268.00	$380.56	$475.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $418.18 / $476.08 / $482.51	Professional		$418.18	$476.08	$482.51
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $643.35 / $900.69 / $2,361.09	Facility		$643.35	$900.69	$2,361.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $342.99 / $534.92 / $1,027.07	Professional		$342.99	$534.92	$1,027.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $546.85 / $641.76 / $1,190.20	Facility		$546.85	$641.76	$1,190.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $546.85 / $546.85 / $546.85	Professional		$546.85	$546.85	$546.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $394.91 / $394.91 / $394.91	Facility		$394.91	$394.91	$394.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.27 / $394.90 / $844.54	Professional		$288.27	$394.90	$844.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.95 / $643.35 / $893.98	Professional		$488.95	$643.35	$893.98
United Facility/Professional Professional Modifier Low / Median / High Price $213.97 / $320.95 / $529.52	Professional		$213.97	$320.95	$529.52