Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.88 / $354.96 / $825.17	Facility		$164.88	$354.96	$825.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.88 / $237.43 / $467.04	Professional		$164.88	$237.43	$467.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $157.21 / $204.38 / $296.85	Professional		$157.21	$204.38	$296.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $395.80 / $554.12 / $1,452.59	Facility		$395.80	$554.12	$1,452.59
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.39 / $329.10 / $631.87	Professional		$236.39	$329.10	$631.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $330.35 / $358.66 / $732.23	Facility		$330.35	$358.66	$732.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $336.43 / $336.43 / $336.43	Professional		$336.43	$336.43	$336.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $331.51	Facility		$296.00	$296.00	$331.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.08 / $267.08 / $489.00	Professional		$216.08	$267.08	$489.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.83 / $395.80 / $549.54	Professional		$366.83	$395.80	$549.54
United Facility/Professional Professional Modifier Low / Median / High Price $158.33 / $208.22 / $342.47	Professional		$158.33	$208.22	$342.47