Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.00 / $224.00 / $634.51	Facility		$224.00	$224.00	$634.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.01 / $240.55 / $358.40	Professional		$196.01	$240.55	$358.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $384.46 / $397.91 / $403.29	Professional		$384.46	$397.91	$403.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $537.72 / $752.81 / $1,973.43	Facility		$537.72	$752.81	$1,973.43
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $282.87 / $447.10 / $858.43	Professional		$282.87	$447.10	$858.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $342.80 / $457.06 / $994.78	Facility		$342.80	$457.06	$994.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $457.06 / $457.06 / $457.06	Professional		$457.06	$457.06	$457.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $260.88	Facility		$260.88	$260.88	$260.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $255.28 / $467.63	Professional		$190.44	$255.28	$467.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.67 / $537.72 / $747.52	Professional		$408.67	$537.72	$747.52
United Facility/Professional Professional Modifier Low / Median / High Price $178.84 / $268.26 / $442.58	Professional		$178.84	$268.26	$442.58