Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $1,659.59 / $5,011.87	Facility		$131.83	$1,659.59	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $109.65 / $269.15	Professional		$51.29	$109.65	$269.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $66.07 / $194.98	Professional		$50.12	$66.07	$194.98
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,089.30 / $3,548.13	Facility		$794.33	$2,089.30	$3,548.13
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $131.83 / $208.93	Professional		$70.79	$131.83	$208.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $83.18 / $208.93	Facility		$63.10	$83.18	$208.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $114.82 / $125.89	Professional		$107.15	$114.82	$125.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $138.04 / $281.84	Professional		$66.07	$138.04	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $162.18 / $257.04	Professional		$63.10	$162.18	$257.04
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 $61.66 / $134.90 / $263.03	Professional		$61.66	$134.90	$263.03