Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $419.82 / $2,496.60 / $5,367.00	Facility		$419.82	$2,496.60	$5,367.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $95.77 / $209.91 / $323.67	Facility	52	$95.77	$209.91	$323.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.06 / $377.19 / $789.36	Professional		$169.06	$377.19	$789.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $142.44 / $155.63 / $634.00	Professional		$142.44	$155.63	$634.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $2,795.56 / $6,315.83	Facility		$989.09	$2,795.56	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $225.84 / $420.71 / $765.35	Professional		$225.84	$420.71	$765.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.66 / $227.92 / $252.34	Facility		$167.66	$227.92	$252.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $435.40 / $440.02 / $756.82	Professional		$435.40	$440.02	$756.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,034.12 / $2,034.12 / $2,034.12	Facility		$2,034.12	$2,034.12	$2,034.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $235.72 / $442.66 / $845.81	Professional		$235.72	$442.66	$845.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.43 / $391.24 / $751.71	Professional		$184.43	$391.24	$751.71
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $117.17 / $117.17 / $248.58	Professional	52	$117.17	$117.17	$248.58
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $374.82 / $535.99 / $903.92	Professional		$374.82	$535.99	$903.92