Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $392.14 / $392.14 / $1,587.94	Facility		$392.14	$392.14	$1,587.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $392.14 / $556.84 / $699.20	Professional		$392.14	$556.84	$699.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $560.87 / $696.60 / $696.60	Professional		$560.87	$696.60	$696.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $941.35 / $1,317.89 / $3,454.75	Facility		$941.35	$1,317.89	$3,454.75
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.87 / $782.71 / $1,502.80	Professional		$501.87	$782.71	$1,502.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $793.73 / $864.52 / $1,741.50	Facility		$793.73	$864.52	$1,741.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $800.15 / $800.15 / $800.15	Professional		$800.15	$800.15	$800.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $583.49 / $583.49 / $583.49	Facility		$583.49	$583.49	$583.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $425.95 / $583.49 / $1,082.63	Professional		$425.95	$583.49	$1,082.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $715.43 / $941.35 / $1,307.99	Professional		$715.43	$941.35	$1,307.99
United Facility/Professional Facility Modifier Low / Median / High Price $466.72 / $466.72 / $466.72	Facility		$466.72	$466.72	$466.72
United Facility/Professional Professional Modifier Low / Median / High Price $364.76 / $469.63 / $782.71	Professional		$364.76	$469.63	$782.71