Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.38 / $3,391.00 / $6,915.00	Facility		$251.38	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.55 / $249.55 / $556.99	Professional		$97.55	$249.55	$556.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $158.26 / $158.68	Professional		$108.00	$158.26	$158.68
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 $114.76 / $229.93 / $618.07	Professional		$114.76	$229.93	$618.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $162.71 / $180.14 / $276.64	Facility		$162.71	$180.14	$276.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.77 / $419.77 / $419.77	Facility		$419.77	$419.77	$419.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.84 / $241.70 / $832.00	Professional		$117.84	$241.70	$832.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.76 / $244.88 / $1,154.00	Professional		$93.76	$244.88	$1,154.00
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,360.00 / $4,066.00	Facility		$424.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.11 / $442.72 / $880.88	Professional		$228.11	$442.72	$880.88