Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.77 / $2,987.00 / $6,915.00	Facility		$572.77	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.65 / $286.52 / $1,000.22	Professional		$123.65	$286.52	$1,000.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.63 / $129.38 / $1,014.86	Professional		$117.63	$129.38	$1,014.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,322.50 / $5,240.56	Facility		$775.91	$2,322.50	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.83 / $353.39 / $1,114.35	Professional		$158.83	$353.39	$1,114.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $232.56 / $255.06 / $391.71	Facility		$232.56	$255.06	$391.71
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 $170.75 / $353.13 / $1,252.25	Professional		$170.75	$353.13	$1,252.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $140.09 / $228.63 / $671.71	Professional		$140.09	$228.63	$671.71
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 $198.14 / $662.00 / $1,382.75	Professional		$198.14	$662.00	$1,382.75