Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,041.47 / $3,111.00 / $6,915.00	Facility		$1,041.47	$3,111.00	$6,915.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $33.26 / $33.26 / $208.29	Facility	53	$33.26	$33.26	$208.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.65 / $735.34 / $1,896.87	Professional		$151.65	$735.34	$1,896.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $248.61 / $1,433.26 / $1,433.26	Professional		$248.61	$1,433.26	$1,433.26
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.97 / $683.67 / $1,591.13	Professional		$153.97	$683.67	$1,591.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $145.72 / $198.88 / $215.10	Facility		$145.72	$198.88	$215.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $951.99 / $955.81 / $1,627.37	Professional		$951.99	$955.81	$1,627.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $894.69 / $894.69 / $894.69	Facility		$894.69	$894.69	$894.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.36 / $415.55 / $2,177.17	Professional		$199.36	$415.55	$2,177.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.30 / $791.69 / $1,187.54	Professional		$160.30	$791.69	$1,187.54
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $101.85 / $101.85 / $553.32	Professional	53	$101.85	$101.85	$553.32
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 $1,015.98 / $1,431.38 / $2,116.46	Professional		$1,015.98	$1,431.38	$2,116.46