Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.60 / $2,987.00 / $6,915.00	Facility		$244.60	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.09 / $248.68 / $481.38	Professional		$151.09	$248.68	$481.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $439.01 / $439.01 / $439.01	Professional		$439.01	$439.01	$439.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,322.50 / $5,240.56	Facility		$741.08	$2,322.50	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.08 / $227.06 / $398.65	Professional		$154.08	$227.06	$398.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $339.78 / $339.78 / $339.78	Facility		$339.78	$339.78	$339.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $230.97 / $261.50 / $640.00	Facility		$230.97	$261.50	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.34 / $299.17 / $543.52	Professional		$177.34	$299.17	$543.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $183.86 / $297.14 / $614.80	Professional		$183.86	$297.14	$614.80
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.21 / $332.24 / $574.53	Professional		$224.21	$332.24	$574.53