Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $537.03 / $1,023.29	Facility		$186.21	$537.03	$1,023.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $371.54	Professional		$186.21	$218.78	$371.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Professional		$363.08	$363.08	$363.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $1,071.52 / $1,659.59	Facility		$457.09	$1,071.52	$1,659.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $537.03	Professional		$269.15	$371.54	$537.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Facility		$380.19	$380.19	$380.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $380.19 / $380.19	Professional		$380.19	$380.19	$380.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $707.95	Facility		$288.40	$288.40	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $512.86	Professional		$208.93	$208.93	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $457.09 / $933.25	Professional		$295.12	$457.09	$933.25
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $295.12 / $316.23	Facility		$151.36	$295.12	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $223.87 / $436.52	Professional		$147.91	$223.87	$436.52