Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.25 / $3,496.00 / $6,915.00	Facility		$555.25	$3,496.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $126.39 / $259.60	Professional		$104.86	$126.39	$259.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.00 / $233.00 / $233.00	Professional		$233.00	$233.00	$233.00
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 $120.75 / $172.56 / $291.80	Professional		$120.75	$172.56	$291.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $110.36 / $155.56 / $185.28	Facility		$110.36	$155.56	$185.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.28 / $139.46 / $150.19	Professional		$107.28	$139.46	$150.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.69 / $131.69 / $2,575.00	Facility		$131.69	$131.69	$2,575.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.07 / $190.04 / $304.64	Professional		$120.07	$190.04	$304.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.74 / $332.65 / $924.76	Professional		$205.74	$332.65	$924.76
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.78 / $165.55 / $268.51	Professional		$104.78	$165.55	$268.51