Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $2,398.83 / $7,413.10	Facility		$173.78	$2,398.83	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $316.23	Professional		$67.61	$125.89	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $97.72 / $165.96	Professional		$74.13	$97.72	$165.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,238.72 / $3,548.13	Facility		$794.33	$2,238.72	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $190.55	Professional		$81.28	$125.89	$190.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $89.13 / $302.00	Facility		$69.18	$89.13	$302.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $97.72 / $109.65	Professional		$93.33	$97.72	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $141.25 / $245.47	Professional		$77.62	$141.25	$245.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $120.23 / $295.12	Professional		$61.66	$120.23	$295.12
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $1.66 / $1.66 / $2.63	Professional	AS	$1.66	$1.66	$2.63
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $1,513.56 / $2,511.89	Facility		$213.80	$1,513.56	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $125.89 / $239.88	Professional		$67.61	$125.89	$239.88