Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.22 / $317.22 / $898.56	Facility		$317.22	$317.22	$898.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.22 / $362.40 / $611.29	Professional		$317.22	$362.40	$611.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $544.44 / $563.50 / $563.50	Professional		$544.44	$563.50	$563.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $761.49 / $1,066.08 / $2,794.67	Facility		$761.49	$1,066.08	$2,794.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.97 / $633.16 / $1,215.67	Professional		$405.97	$633.16	$1,215.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $599.66 / $647.27 / $1,408.76	Facility		$599.66	$647.27	$1,408.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $647.27 / $647.27 / $647.27	Professional		$647.27	$647.27	$647.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.56 / $448.56 / $448.56	Facility		$448.56	$448.56	$448.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.45 / $446.57 / $817.88	Professional		$327.45	$446.57	$817.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $578.73 / $761.49 / $1,058.15	Professional		$578.73	$761.49	$1,058.15
United Facility/Professional Facility Modifier Low / Median / High Price $470.15 / $470.15 / $470.15	Facility		$470.15	$470.15	$470.15
United Facility/Professional Professional Modifier Low / Median / High Price $253.26 / $379.90 / $633.16	Professional		$253.26	$379.90	$633.16