Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $877.43 / $4,368.00 / $6,915.00	Facility		$877.43	$4,368.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $563.99 / $691.58 / $1,386.07	Professional		$563.99	$691.58	$1,386.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $385.74 / $385.74 / $385.74	Professional		$385.74	$385.74	$385.74
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 $578.00 / $915.81 / $1,670.08	Professional		$578.00	$915.81	$1,670.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $972.86 / $972.86 / $972.86	Facility		$972.86	$972.86	$972.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.79 / $740.79 / $1,153.31	Facility		$740.79	$740.79	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $605.62 / $901.80 / $1,659.94	Professional		$605.62	$901.80	$1,659.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $706.12 / $956.75 / $1,591.21	Professional		$706.12	$956.75	$1,591.21
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 $540.15 / $836.70 / $1,556.94	Professional		$540.15	$836.70	$1,556.94