Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $446.68 / $457.09	Facility		$154.88	$446.68	$457.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $181.97 / $309.03	Professional		$154.88	$181.97	$309.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $891.25 / $1,380.38	Facility		$380.19	$891.25	$1,380.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $309.03 / $446.68	Professional		$223.87	$309.03	$446.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Facility		$316.23	$316.23	$316.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $239.88 / $588.84	Facility		$239.88	$239.88	$588.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $173.78 / $426.58	Professional		$173.78	$173.78	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $380.19 / $724.44	Professional		$245.47	$380.19	$724.44
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $251.19 / $263.03	Facility		$125.89	$251.19	$263.03
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $186.21 / $363.08	Professional		$123.03	$186.21	$363.08