Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,790.16 / $4,947.00 / $7,068.00	Facility		$1,790.16	$4,947.00	$7,068.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.58 / $829.11 / $1,955.11	Professional		$669.58	$829.11	$1,955.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,294.88 / $1,302.24 / $1,487.42	Professional		$1,294.88	$1,302.24	$1,487.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $740.01 / $1,116.51 / $2,012.38	Professional		$740.01	$1,116.51	$2,012.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $932.45 / $932.45 / $932.45	Facility		$932.45	$932.45	$932.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $839.30 / $839.30 / $2,225.00	Facility		$839.30	$839.30	$2,225.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $83.10	Facility	AS	$83.10	$83.10	$83.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $779.12 / $1,197.79 / $1,910.81	Professional		$779.12	$1,197.79	$1,910.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $809.30 / $1,177.17 / $3,936.00	Professional		$809.30	$1,177.17	$3,936.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.18 / $29.18 / $29.18	Professional	AS	$29.18	$29.18	$29.18
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 $655.86 / $1,053.00 / $1,671.87	Professional		$655.86	$1,053.00	$1,671.87