Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.01 / $4,126.00 / $6,915.00	Facility		$689.01	$4,126.00	$6,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $81.65 / $213.51 / $426.83	Facility	52	$81.65	$213.51	$426.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.52 / $612.52 / $1,347.16	Professional		$148.52	$612.52	$1,347.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $243.57 / $265.08 / $1,116.19	Professional		$243.57	$265.08	$1,116.19
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 $191.91 / $483.94 / $1,539.59	Professional		$191.91	$483.94	$1,539.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.57 / $301.79 / $463.47	Facility		$272.57	$301.79	$463.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $798.84 / $798.84 / $798.84	Facility		$798.84	$798.84	$798.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.57 / $493.00 / $1,695.57	Professional		$206.57	$493.00	$1,695.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.06 / $618.14 / $3,291.00	Professional		$157.06	$618.14	$3,291.00
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $99.79 / $99.79 / $432.02	Professional	52	$99.79	$99.79	$432.02
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 $628.75 / $1,024.11 / $1,767.15	Professional		$628.75	$1,024.11	$1,767.15