Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $2,221.00 / $9,449.12	Facility		$40.07	$2,221.00	$9,449.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $40.07 / $89.86	Professional		$22.44	$40.07	$89.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.27 / $27.36 / $35.61	Professional		$17.27	$27.36	$35.61
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.88 / $41.92 / $73.59	Professional		$24.88	$41.92	$73.59
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $37.32 / $62.88 / $110.40	Professional	50	$37.32	$62.88	$110.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.58 / $29.05 / $77.34	Facility		$23.58	$29.05	$77.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $36.43 / $42.59 / $44.70	Professional		$36.43	$42.59	$44.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.62 / $35.45 / $77.30	Professional		$19.62	$35.45	$77.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.63 / $42.59 / $151.00	Professional		$26.63	$42.59	$151.00
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 $34.36 / $47.52 / $92.56	Professional		$34.36	$47.52	$92.56