Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.00 / $4,592.00 / $8,161.50	Facility		$483.00	$4,592.00	$8,161.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,843.00 / $8,010.16 / $31,791.57	Facility	50	$2,843.00	$8,010.16	$31,791.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.51 / $483.01 / $1,029.25	Professional		$260.51	$483.01	$1,029.25
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $215.33 / $511.82 / $916.15	Professional	50	$215.33	$511.82	$916.15
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $331.10 / $331.10 / $331.10	Professional	50	$331.10	$331.10	$331.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,226.00 / $4,845.66 / $10,832.53	Facility		$1,226.00	$4,845.66	$10,832.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.61 / $474.27 / $800.27	Professional		$293.61	$474.27	$800.27
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $440.42 / $711.41 / $1,200.40	Professional	50	$440.42	$711.41	$1,200.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $453.90 / $496.28 / $762.14	Facility		$453.90	$496.28	$762.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,064.29 / $6,918.00 / $9,852.00	Facility		$3,064.29	$6,918.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $303.50 / $541.67 / $1,013.39	Professional		$303.50	$541.67	$1,013.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $261.56 / $468.72 / $1,330.26	Professional		$261.56	$468.72	$1,330.26
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $301.54 / $489.71 / $1,088.81	Professional		$301.54	$489.71	$1,088.81