Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $3,890.45 / $7,413.10	Facility		$380.19	$3,890.45	$7,413.10
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,584.89 / $4,168.69 / $7,079.46	Facility	50	$1,584.89	$4,168.69	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $295.12 / $575.44	Professional		$165.96	$295.12	$575.44
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $331.13 / $630.96 / $1,584.89	Professional	50	$331.13	$630.96	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $275.42 / $489.78	Professional		$158.49	$275.42	$489.78
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $371.54 / $446.68 / $724.44	Professional	50	$371.54	$446.68	$724.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,238.72 / $4,786.30	Facility		$1,000.00	$2,238.72	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $288.40 / $501.19	Professional		$165.96	$288.40	$501.19
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $251.19 / $436.52 / $758.58	Professional	50	$251.19	$436.52	$758.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $218.78 / $309.03	Facility		$194.98	$218.78	$309.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $575.44	Professional		$316.23	$316.23	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,000.00	Facility		$1,000.00	$1,000.00	$1,000.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $346.74 / $602.56	Professional		$213.80	$346.74	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $489.78	Professional		$141.25	$269.15	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $3,090.30 / $5,370.32	Facility		$562.34	$3,090.30	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $295.12 / $524.81	Professional		$173.78	$295.12	$524.81