Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.03 / $5,045.00 / $6,915.00	Facility		$760.03	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $663.42 / $812.17 / $1,634.08	Professional		$663.42	$812.17	$1,634.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $677.74 / $677.74 / $677.74	Professional		$677.74	$677.74	$677.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $39,007.80	Facility		$1,282.27	$5,155.99	$39,007.80
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $721.03 / $1,063.54 / $1,924.20	Professional		$721.03	$1,063.54	$1,924.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,335.27 / $1,613.15 / $2,194.37	Facility		$1,335.27	$1,613.15	$2,194.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $871.93 / $2,500.00	Facility		$500.00	$871.93	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.48 / $1,155.75 / $1,919.59	Professional		$776.48	$1,155.75	$1,919.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $842.39 / $1,239.27 / $1,898.32	Professional		$842.39	$1,239.27	$1,898.32
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 $653.40 / $998.09 / $1,680.27	Professional		$653.40	$998.09	$1,680.27