Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,293.08 / $4,368.00 / $6,915.00	Facility		$1,293.08	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $934.86 / $1,293.08 / $2,668.62	Professional		$934.86	$1,293.08	$2,668.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,522.41 / $2,522.41 / $2,522.41	Professional		$2,522.41	$2,522.41	$2,522.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $880.47 / $1,669.05 / $3,100.44	Professional		$880.47	$1,669.05	$3,100.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,405.64 / $2,582.63 / $3,580.34	Facility		$1,405.64	$2,582.63	$3,580.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,424.06 / $2,172.58	Facility		$860.00	$1,424.06	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $689.27 / $1,607.54 / $3,201.78	Professional		$689.27	$1,607.54	$3,201.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,208.26 / $1,548.34 / $3,097.33	Professional		$1,208.26	$1,548.34	$3,097.33
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 $775.32 / $1,311.44 / $2,835.20	Professional		$775.32	$1,311.44	$2,835.20