Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $284.83 / $284.83 / $806.81	Facility		$284.83	$284.83	$806.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.83 / $403.83 / $563.46	Professional		$284.83	$403.83	$563.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.39 / $488.87 / $505.97	Professional		$407.39	$488.87	$505.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $683.74 / $957.24 / $2,509.33	Facility		$683.74	$957.24	$2,509.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $364.53 / $568.52 / $1,091.56	Professional		$364.53	$568.52	$1,091.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $581.17 / $659.79 / $1,264.92	Facility		$581.17	$659.79	$1,264.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $581.17 / $581.17 / $581.17	Professional		$581.17	$581.17	$581.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $427.25 / $427.25 / $427.25	Facility		$427.25	$427.25	$427.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.89 / $427.25 / $900.00	Professional		$311.89	$427.25	$900.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $519.64 / $683.74 / $949.88	Professional		$519.64	$683.74	$949.88
United Facility/Professional Professional Modifier Low / Median / High Price $267.08 / $341.11 / $562.78	Professional		$267.08	$341.11	$562.78