Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $702.64 / $4,592.00 / $6,915.00	Facility		$702.64	$4,592.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $406.69 / $479.93 / $1,066.42	Professional		$406.69	$479.93	$1,066.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $742.44 / $913.97 / $913.97	Professional		$742.44	$913.97	$913.97
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.90 / $646.44 / $1,176.45	Professional		$433.90	$646.44	$1,176.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $665.72 / $665.72 / $665.72	Facility		$665.72	$665.72	$665.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $517.79 / $517.79 / $1,153.31	Facility		$517.79	$517.79	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $454.46 / $691.69 / $1,137.06	Professional		$454.46	$691.69	$1,137.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $498.98 / $747.70 / $1,124.46	Professional		$498.98	$747.70	$1,124.46
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.05 / $598.80 / $1,099.33	Professional		$392.05	$598.80	$1,099.33