Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $467.74 / $1,380.38	Facility		$467.74	$467.74	$1,380.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $660.69 / $1,071.52	Professional		$467.74	$660.69	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $851.14	Professional		$851.14	$851.14	$851.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,148.15 / $2,691.53 / $4,168.69	Facility		$1,148.15	$2,691.53	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $933.25 / $1,513.56	Professional		$602.56	$933.25	$1,513.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
CareSource Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $2,041.74	Facility		$707.95	$707.95	$2,041.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $512.86 / $1,380.38	Professional		$512.86	$512.86	$1,380.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $1,148.15 / $1,548.82	Professional		$794.33	$1,148.15	$1,548.82
United Facility/Professional Facility Modifier Low / Median / High Price $436.52 / $851.14 / $891.25	Facility		$436.52	$851.14	$891.25
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $562.34 / $1,096.48	Professional		$371.54	$562.34	$1,096.48