Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,160.03 / $5,063.00 / $7,421.00	Facility		$1,160.03	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $765.47 / $950.71 / $1,894.04	Professional		$765.47	$950.71	$1,894.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $545.95 / $545.95 / $545.95	Professional		$545.95	$545.95	$545.95
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,081.88 / $6,315.83	Facility		$1,082.02	$3,081.88	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $843.11 / $1,243.15 / $2,282.08	Professional		$843.11	$1,243.15	$2,282.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,222.90 / $1,222.90 / $1,222.90	Facility		$1,222.90	$1,222.90	$1,222.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,017.00 / $57,200.00	Facility		$500.00	$1,017.00	$57,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.34 / $1,305.88 / $2,251.54	Professional		$831.34	$1,305.88	$2,251.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $988.06 / $1,438.82 / $2,226.58	Professional		$988.06	$1,438.82	$2,226.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $770.13 / $1,164.58 / $2,006.16	Professional		$770.13	$1,164.58	$2,006.16