Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $638.35 / $3,302.36 / $6,726.00	Facility		$638.35	$3,302.36	$6,726.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,184.48 / $3,911.00 / $13,711.85	Facility	50	$3,184.48	$3,911.00	$13,711.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.22 / $527.41 / $1,321.75	Professional		$100.22	$527.41	$1,321.75
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $319.87 / $2,028.65 / $2,035.85	Professional	50	$319.87	$2,028.65	$2,035.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.27 / $161.47 / $1,174.14	Professional		$92.27	$161.47	$1,174.14
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $242.21 / $242.21 / $774.42	Professional	50	$242.21	$242.21	$774.42
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 $127.78 / $439.13 / $1,058.10	Professional		$127.78	$439.13	$1,058.10
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $191.67 / $658.69 / $1,592.71	Professional	50	$191.67	$658.69	$1,592.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.79 / $200.07 / $307.25	Facility		$182.79	$200.07	$307.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.51 / $1,212.51 / $1,212.51	Facility		$1,212.51	$1,212.51	$1,212.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.15 / $309.82 / $1,240.44	Professional		$131.15	$309.82	$1,240.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.11 / $607.29 / $2,653.00	Professional		$110.11	$607.29	$2,653.00
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 $508.54 / $715.94 / $1,264.43	Professional		$508.54	$715.94	$1,264.43