Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $2,630.27 / $5,623.41	Facility		$660.69	$2,630.27	$5,623.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $190.55 / $794.33	Professional		$74.13	$190.55	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $102.33 / $354.81	Professional		$72.44	$102.33	$354.81
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 $100.00 / $323.59 / $724.44	Professional		$100.00	$323.59	$724.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $114.82 / $162.18	Facility		$100.00	$114.82	$162.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $724.44	Professional		$416.87	$416.87	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $323.59 / $851.14	Professional		$117.49	$323.59	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $354.81 / $660.69	Professional		$74.13	$354.81	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $2,187.76 / $3,467.37	Facility		$426.58	$2,187.76	$3,467.37
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $416.87 / $870.96	Professional		$91.20	$416.87	$870.96