Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.68 / $189.68 / $537.29	Facility		$189.68	$189.68	$537.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $189.68 / $240.97 / $305.77	Professional		$189.68	$240.97	$305.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $180.85 / $325.54 / $341.50	Professional		$180.85	$325.54	$341.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $455.33 / $637.46 / $1,671.06	Facility		$455.33	$637.46	$1,671.06
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $242.74 / $378.59 / $726.89	Professional		$242.74	$378.59	$726.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $359.55 / $406.03 / $842.36	Facility		$359.55	$406.03	$842.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $387.03 / $387.03 / $387.03	Professional		$387.03	$387.03	$387.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $293.77	Facility		$293.77	$293.77	$293.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.45 / $293.77 / $553.88	Professional		$214.45	$293.77	$553.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $346.05 / $455.33 / $632.90	Professional		$346.05	$455.33	$632.90
United Facility/Professional Professional Modifier Low / Median / High Price $165.24 / $227.15 / $393.97	Professional		$165.24	$227.15	$393.97