Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.58 / $3,330.34 / $6,915.00	Facility		$124.58	$3,330.34	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.54 / $157.18 / $361.40	Professional		$97.54	$157.18	$361.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.25 / $97.25 / $97.25	Professional		$97.25	$97.25	$97.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.52 / $200.93 / $339.90	Professional		$117.52	$200.93	$339.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.43 / $121.92 / $650.51	Facility		$98.43	$121.92	$650.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $131.28 / $152.56 / $158.44	Professional		$131.28	$152.56	$158.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.43 / $244.13 / $424.39	Professional		$151.43	$244.13	$424.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.76 / $152.56 / $328.55	Professional		$111.76	$152.56	$328.55
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 $134.79 / $231.86 / $378.60	Professional		$134.79	$231.86	$378.60