Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.00 / $4,342.00 / $7,068.00	Facility		$984.00	$4,342.00	$7,068.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $536.84 / $1,300.99	Professional		$426.58	$536.84	$1,300.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $494.24 / $858.18 / $949.89	Professional		$494.24	$858.18	$949.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $472.59 / $709.91 / $1,285.15	Professional		$472.59	$709.91	$1,285.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $587.69 / $587.69 / $587.69	Facility		$587.69	$587.69	$587.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $535.01 / $535.01 / $2,225.00	Facility		$535.01	$535.01	$2,225.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $53.09 / $53.09 / $53.09	Facility	AS	$53.09	$53.09	$53.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.86 / $755.72 / $1,220.29	Professional		$495.86	$755.72	$1,220.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $518.14 / $753.66 / $2,021.00	Professional		$518.14	$753.66	$2,021.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $18.68 / $18.68 / $18.68	Professional	AS	$18.68	$18.68	$18.68
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 $417.81 / $664.10 / $1,067.70	Professional		$417.81	$664.10	$1,067.70