Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.67 / $5,045.00 / $6,915.00	Facility		$987.67	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $594.82 / $723.91 / $1,385.42	Professional		$594.82	$723.91	$1,385.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $627.74 / $627.74 / $627.74	Professional		$627.74	$627.74	$627.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $650.79 / $979.07 / $1,754.17	Professional		$650.79	$979.07	$1,754.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,175.84 / $1,424.43 / $1,937.64	Facility		$1,175.84	$1,424.43	$1,937.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $770.39 / $770.39 / $4,830.16	Facility		$770.39	$770.39	$4,830.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.42 / $1,036.13 / $1,714.16	Professional		$695.42	$1,036.13	$1,714.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $743.84 / $1,033.70 / $1,676.25	Professional		$743.84	$1,033.70	$1,676.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $583.15 / $890.75 / $1,531.80	Professional		$583.15	$890.75	$1,531.80