Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,162.28 / $7,413.10	Facility		$691.83	$3,162.28	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $575.44 / $1,122.02	Professional		$346.74	$575.44	$1,122.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $281.84 / $588.84	Professional		$208.93	$281.84	$588.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,818.38 / $6,025.60	Facility		$1,000.00	$2,818.38	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $660.69 / $1,122.02	Professional		$426.58	$660.69	$1,122.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $457.09 / $457.09	Facility		$457.09	$457.09	$457.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $630.96 / $691.83	Professional		$588.84	$630.96	$691.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $660.69 / $1,288.25	Professional		$363.08	$660.69	$1,288.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $776.25 / $1,318.26	Professional		$407.38	$776.25	$1,318.26
United Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $2,238.72 / $3,467.37	Facility		$776.25	$2,238.72	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,380.38	Professional		$436.52	$741.31	$1,380.38