Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $1,148.15 / $1,584.89	Facility		$389.05	$1,148.15	$1,584.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $524.81 / $831.76	Professional		$389.05	$524.81	$831.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $691.83 / $1,819.70	Professional		$467.74	$691.83	$1,819.70
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $2,290.87 / $3,548.13	Facility		$954.99	$2,290.87	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $776.25 / $1,258.93	Professional		$501.19	$776.25	$1,258.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Facility		$794.33	$794.33	$794.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $1,659.59	Facility		$588.84	$588.84	$1,659.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $426.58 / $1,071.52	Professional		$426.58	$426.58	$1,071.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $676.08 / $954.99 / $1,318.26	Professional		$676.08	$954.99	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $645.65 / $741.31	Facility		$363.08	$645.65	$741.31
United Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $467.74 / $912.01	Professional		$316.23	$467.74	$912.01