Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.02 / $2,097.50 / $5,477.04	Facility		$141.02	$2,097.50	$5,477.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.06 / $141.02 / $300.00	Professional		$69.06	$141.02	$300.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.75 / $123.06 / $171.18	Professional		$112.75	$123.06	$171.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $759.49 / $2,152.57 / $4,143.39	Facility		$759.49	$2,152.57	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $86.84 / $145.37 / $242.80	Professional		$86.84	$145.37	$242.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.13 / $90.20 / $99.87	Facility		$68.13	$90.20	$99.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $151.01 / $151.96 / $262.63	Professional		$151.01	$151.96	$262.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.96 / $111.96 / $111.96	Facility		$111.96	$111.96	$111.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $161.63 / $280.95	Professional		$90.00	$161.63	$280.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $136.66 / $324.52	Professional		$74.94	$136.66	$324.52
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $163.25 / $163.25 / $297.70	Professional	22	$163.25	$163.25	$297.70
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $118.09 / $166.57 / $306.45	Professional		$118.09	$166.57	$306.45