Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.29 / $265.29 / $1,161.30	Facility		$265.29	$265.29	$1,161.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.29 / $376.71 / $424.46	Professional		$265.29	$376.71	$424.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $379.43 / $455.32 / $471.26	Professional		$379.43	$455.32	$471.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $636.84 / $891.58 / $2,337.19	Facility		$636.84	$891.58	$2,337.19
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $339.52 / $529.52 / $1,016.68	Professional		$339.52	$529.52	$1,016.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $541.30 / $636.84 / $1,248.21	Facility		$541.30	$636.84	$1,248.21
CareSource Facility/Professional Professional Modifier Low / Median / High Price $541.30 / $541.30 / $541.30	Professional		$541.30	$541.30	$541.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.94 / $397.94 / $397.94	Facility		$397.94	$397.94	$397.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $397.94 / $738.38	Professional		$290.50	$397.94	$738.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $484.00 / $636.84 / $884.58	Professional		$484.00	$636.84	$884.58
United Facility/Professional Professional Modifier Low / Median / High Price $248.77 / $317.70 / $524.16	Professional		$248.77	$317.70	$524.16