Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $3,311.31 / $7,079.46	Facility		$1,513.56	$3,311.31	$7,079.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $309.03 / $1,621.81	Professional		$147.91	$309.03	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $213.80 / $269.15	Professional		$128.82	$213.80	$269.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,071.52 / $2,884.03 / $4,786.30	Facility		$1,071.52	$2,884.03	$4,786.30
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $724.44 / $1,122.02	Professional		$154.88	$724.44	$1,122.02
CareSource Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Professional		$954.99	$954.99	$954.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $416.87 / $2,041.74	Professional		$204.17	$416.87	$2,041.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $251.19 / $1,230.27	Professional		$134.90	$251.19	$1,230.27
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $102.33 / $102.33 / $549.54	Professional	53	$102.33	$102.33	$549.54
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $3,090.30 / $5,370.32	Facility		$602.56	$3,090.30	$5,370.32
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $912.01 / $1,862.09	Professional		$162.18	$912.01	$1,862.09