Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,249.64 / $5,063.00 / $6,915.00	Facility		$1,249.64	$5,063.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $693.88 / $877.54 / $1,425.64	Professional		$693.88	$877.54	$1,425.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $907.01 / $907.01 / $907.01	Professional		$907.01	$907.01	$907.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $704.40 / $986.16 / $1,843.93	Professional		$704.40	$986.16	$1,843.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,336.19 / $1,456.86 / $2,237.31	Facility		$1,336.19	$1,456.86	$2,237.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,128.69 / $2,128.69 / $2,128.69	Facility		$2,128.69	$2,128.69	$2,128.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $780.01 / $1,190.33 / $2,012.51	Professional		$780.01	$1,190.33	$2,012.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $699.95 / $909.94 / $1,694.45	Professional		$699.95	$909.94	$1,694.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $740.95 / $1,055.88 / $1,716.24	Professional		$740.95	$1,055.88	$1,716.24