Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.70 / $5,063.00 / $7,647.00	Facility		$673.70	$5,063.00	$7,647.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,792.60 / $9,612.00 / $16,964.43	Facility	50	$2,792.60	$9,612.00	$16,964.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.11 / $399.67 / $922.67	Professional		$330.11	$399.67	$922.67
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $511.20 / $611.84 / $1,022.40	Professional	50	$511.20	$611.84	$1,022.40
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $439.40 / $439.40 / $439.40	Professional	50	$439.40	$439.40	$439.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,566.79 / $4,845.66 / $10,832.53	Facility		$1,566.79	$4,845.66	$10,832.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.04 / $534.83 / $909.64	Professional		$331.04	$534.83	$909.64
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $496.56 / $802.24 / $1,364.46	Professional	50	$496.56	$802.24	$1,364.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.40 / $659.39 / $1,012.62	Facility		$602.40	$659.39	$1,012.62
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 $380.82 / $607.97 / $996.33	Professional		$380.82	$607.97	$996.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $315.56 / $410.23 / $2,958.37	Professional		$315.56	$410.23	$2,958.37
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 $335.68 / $537.09 / $836.16	Professional		$335.68	$537.09	$836.16