Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.99 / $169.32 / $338.64	Facility		$113.99	$169.32	$338.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $144.62 / $187.91	Professional		$113.99	$144.62	$187.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.69 / $141.29 / $410.46	Professional		$108.69	$141.29	$410.46
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.64 / $383.10 / $1,004.26	Facility		$273.64	$383.10	$1,004.26
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.65 / $227.52 / $436.84	Professional		$153.65	$227.52	$436.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $232.00 / $255.25 / $506.23	Facility		$232.00	$255.25	$506.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $232.59 / $232.59 / $232.59	Professional		$232.59	$232.59	$232.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.00 / $170.64 / $181.44	Facility		$108.00	$170.64	$181.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $124.57 / $316.50	Professional		$124.57	$124.57	$316.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $273.64 / $379.80	Professional		$44.00	$273.64	$379.80
United Facility/Professional Professional Modifier Low / Median / High Price $100.68 / $136.51 / $225.23	Professional		$100.68	$136.51	$225.23