Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.72 / $3,391.00 / $6,915.00	Facility		$146.72	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.26 / $154.97 / $337.30	Professional		$66.26	$154.97	$337.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $639.79 / $639.79 / $639.79	Professional		$639.79	$639.79	$639.79
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 $88.76 / $171.01 / $374.69	Professional		$88.76	$171.01	$374.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $128.49 / $140.40 / $215.63	Facility		$128.49	$140.40	$215.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.55 / $140.55 / $140.55	Facility		$140.55	$140.55	$140.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.56 / $197.73 / $355.17	Professional		$98.56	$197.73	$355.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $74.03 / $171.59 / $415.34	Professional		$74.03	$171.59	$415.34
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 $161.08 / $239.21 / $379.43	Professional		$161.08	$239.21	$379.43