Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.34 / $3,295.00 / $6,915.00	Facility		$521.34	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.42 / $514.45 / $1,110.45	Professional		$334.42	$514.45	$1,110.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $338.63 / $869.63 / $1,009.64	Professional		$338.63	$869.63	$1,009.64
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $367.49 / $532.22 / $993.38	Professional		$367.49	$532.22	$993.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $678.95 / $678.95 / $678.95	Facility		$678.95	$678.95	$678.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $620.91 / $620.91 / $974.44	Facility		$620.91	$620.91	$974.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.56 / $612.29 / $1,036.66	Professional		$398.56	$612.29	$1,036.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.75 / $638.38 / $1,224.81	Professional		$437.75	$638.38	$1,224.81
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $422.01 / $632.29 / $1,112.79	Professional		$422.01	$632.29	$1,112.79