Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.96 / $3,295.00 / $6,915.00	Facility		$508.96	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $304.76 / $493.41 / $919.43	Professional		$304.76	$493.41	$919.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $604.29 / $604.29 / $604.29	Professional		$604.29	$604.29	$604.29
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $326.95 / $485.31 / $887.36	Professional		$326.95	$485.31	$887.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $647.27 / $647.27 / $647.27	Facility		$647.27	$647.27	$647.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $558.83 / $558.83 / $2,172.58	Facility		$558.83	$558.83	$2,172.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.67 / $606.85 / $1,073.58	Professional		$370.67	$606.85	$1,073.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.59 / $569.95 / $1,171.33	Professional		$390.59	$569.95	$1,171.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $430.70 / $630.42 / $1,085.33	Professional		$430.70	$630.42	$1,085.33