Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $4,570.88 / $8,317.64	Facility		$1,445.44	$4,570.88	$8,317.64
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,489.63 / $13,489.63 / $13,489.63	Facility	50	$13,489.63	$13,489.63	$13,489.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $512.86 / $870.96	Professional		$331.13	$512.86	$870.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $446.68 / $616.60	Professional		$331.13	$446.68	$616.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $3,090.30 / $6,025.60	Facility		$1,318.26	$3,090.30	$6,025.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $562.34 / $741.31	Professional		$346.74	$562.34	$741.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $7,244.36 / $9,772.37	Facility		$4,168.69	$7,244.36	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $588.84 / $891.25	Professional		$407.38	$588.84	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $416.87 / $831.76	Professional		$316.23	$416.87	$831.76
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $851.14 / $851.14 / $851.14	Professional	22	$851.14	$851.14	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $4,168.69 / $6,918.31	Facility		$1,122.02	$4,168.69	$6,918.31
United Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $870.96	Professional		$363.08	$501.19	$870.96