Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.09 / $379.57 / $759.14	Facility		$181.09	$379.57	$759.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.09 / $257.14 / $289.74	Professional		$181.09	$257.14	$289.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.67 / $310.80 / $326.02	Professional		$172.67	$310.80	$326.02
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $434.70 / $608.58 / $1,595.35	Facility		$434.70	$608.58	$1,595.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.75 / $361.44 / $693.96	Professional		$231.75	$361.44	$693.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $369.50 / $372.11 / $804.20	Facility		$369.50	$372.11	$804.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $369.50 / $369.50 / $369.50	Professional		$369.50	$369.50	$369.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $281.20 / $281.20 / $281.20	Facility		$281.20	$281.20	$281.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $275.16 / $504.00	Professional		$205.28	$275.16	$504.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.37 / $434.70 / $603.79	Professional		$330.37	$434.70	$603.79
United Facility/Professional Professional Modifier Low / Median / High Price $169.80 / $216.86 / $357.79	Professional		$169.80	$216.86	$357.79