Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.80 / $250.80 / $710.42	Facility		$250.80	$250.80	$710.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $250.80 / $343.82 / $486.44	Professional		$250.80	$343.82	$486.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $239.14 / $430.45 / $782.66	Professional		$239.14	$430.45	$782.66
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.04 / $842.87 / $2,209.52	Facility		$602.04	$842.87	$2,209.52
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $320.97 / $500.60 / $961.15	Professional		$320.97	$500.60	$961.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $511.74 / $602.04 / $1,180.02	Facility		$511.74	$602.04	$1,180.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $511.74 / $511.74 / $511.74	Professional		$511.74	$511.74	$511.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Facility		$382.03	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $381.09 / $697.88	Professional		$278.88	$381.09	$697.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.56 / $602.04 / $836.45	Professional		$457.56	$602.04	$836.45
United Facility/Professional Professional Modifier Low / Median / High Price $235.18 / $300.36 / $495.54	Professional		$235.18	$300.36	$495.54