Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $641.34 / $4,592.00 / $8,331.00	Facility		$641.34	$4,592.00	$8,331.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,554.00 / $13,554.00 / $13,554.00	Facility	50	$13,554.00	$13,554.00	$13,554.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.61 / $428.93 / $778.76	Professional		$339.61	$428.93	$778.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.42 / $616.66 / $636.94	Professional		$257.42	$616.66	$636.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,155.80 / $3,116.30 / $6,315.83	Facility		$1,155.80	$3,116.30	$6,315.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $344.68 / $521.46 / $985.78	Professional		$344.68	$521.46	$985.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.58 / $481.62 / $770.49	Facility		$398.58	$481.62	$770.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $432.08 / $440.05 / $778.27	Professional		$432.08	$440.05	$778.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,090.96 / $6,918.00 / $9,852.00	Facility		$2,090.96	$6,918.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $409.03 / $593.47 / $987.49	Professional		$409.03	$593.47	$987.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $343.07 / $445.99 / $830.61	Professional		$343.07	$445.99	$830.61
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $844.74 / $844.74 / $844.74	Professional	22	$844.74	$844.74	$844.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $368.89 / $544.78 / $916.14	Professional		$368.89	$544.78	$916.14