Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.83 / $316.83 / $1,656.02	Facility		$316.83	$316.83	$1,656.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.83 / $449.91 / $596.38	Professional		$316.83	$449.91	$596.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $392.74 / $543.79 / $570.44	Professional		$392.74	$543.79	$570.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $760.58 / $1,064.81 / $2,791.33	Facility		$760.58	$1,064.81	$2,791.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $405.49 / $632.40 / $1,214.21	Professional		$405.49	$632.40	$1,214.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $646.49 / $795.90 / $1,407.07	Facility		$646.49	$795.90	$1,407.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $646.49 / $646.49 / $646.49	Professional		$646.49	$646.49	$646.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $663.31 / $663.31 / $663.31	Facility		$663.31	$663.31	$663.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $484.22 / $592.69 / $1,036.29	Professional		$484.22	$592.69	$1,036.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $578.04 / $760.58 / $1,056.30	Professional		$578.04	$760.58	$1,056.30
United Facility/Professional Professional Modifier Low / Median / High Price $252.96 / $379.44 / $632.40	Professional		$252.96	$379.44	$632.40