Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $956.52 / $5,045.00 / $6,915.00	Facility		$956.52	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $589.60 / $732.08 / $1,408.99	Professional		$589.60	$732.08	$1,408.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $615.91 / $615.91 / $615.91	Professional		$615.91	$615.91	$615.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $620.00 / $950.18 / $1,755.95	Professional		$620.00	$950.18	$1,755.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,135.20 / $1,400.42 / $1,904.99	Facility		$1,135.20	$1,400.42	$1,904.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.76 / $768.76 / $2,172.58	Facility		$768.76	$768.76	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $631.01 / $968.12 / $1,723.19	Professional		$631.01	$968.12	$1,723.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $731.31 / $1,045.00 / $1,648.00	Professional		$731.31	$1,045.00	$1,648.00
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 $570.89 / $893.63 / $1,533.35	Professional		$570.89	$893.63	$1,533.35