Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $970.27 / $5,063.00 / $12,390.00	Facility		$970.27	$5,063.00	$12,390.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.32 / $722.41 / $1,570.37	Professional		$571.32	$722.41	$1,570.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $422.12 / $422.12 / $422.12	Professional		$422.12	$422.12	$422.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,987.00 / $21,112.96	Facility		$878.93	$2,987.00	$21,112.96
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $632.23 / $928.25 / $1,704.01	Professional		$632.23	$928.25	$1,704.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,152.65 / $1,386.38 / $1,896.18	Facility		$1,152.65	$1,386.38	$1,896.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $753.64 / $753.64 / $1,153.31	Facility		$753.64	$753.64	$1,153.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $653.91 / $984.01 / $1,678.49	Professional		$653.91	$984.01	$1,678.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $727.94 / $1,021.92 / $1,640.38	Professional		$727.94	$1,021.92	$1,640.38
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 $578.74 / $844.63 / $1,497.97	Professional		$578.74	$844.63	$1,497.97