Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.82 / $2,950.00 / $6,858.00	Facility		$502.82	$2,950.00	$6,858.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.13 / $480.45 / $914.91	Professional		$299.13	$480.45	$914.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $488.19 / $488.19 / $488.19	Professional		$488.19	$488.19	$488.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.53 / $473.94 / $875.86	Professional		$338.53	$473.94	$875.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $629.44 / $629.44 / $629.44	Facility		$629.44	$629.44	$629.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $571.65 / $571.65 / $1,653.56	Facility		$571.65	$571.65	$1,653.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $351.10 / $561.05 / $989.70	Professional		$351.10	$561.05	$989.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $405.56 / $585.00 / $1,187.91	Professional		$405.56	$585.00	$1,187.91
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $411.35 / $595.25 / $1,097.46	Professional		$411.35	$595.25	$1,097.46