Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.11 / $2,352.00 / $6,501.28	Facility		$112.11	$2,352.00	$6,501.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $107.61 / $223.61	Professional		$49.61	$107.61	$223.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $62.79 / $88.24	Professional		$42.28	$62.79	$88.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,098.00 / $3,851.83	Facility		$759.49	$2,098.00	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.75 / $111.13 / $222.68	Professional		$59.75	$111.13	$222.68
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $89.62 / $166.69 / $334.02	Professional	50	$89.62	$166.69	$334.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.82 / $71.20 / $223.09	Facility		$56.82	$71.20	$223.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.37 / $138.00 / $145.16	Professional		$115.37	$138.00	$145.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.20 / $95.16 / $242.70	Professional		$46.20	$95.16	$242.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $138.00 / $170.79	Professional		$65.27	$138.00	$170.79
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $90.19 / $135.28 / $287.32	Professional		$90.19	$135.28	$287.32