Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $374.27 / $4,046.90 / $6,915.00	Facility		$374.27	$4,046.90	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.04 / $260.00 / $469.40	Professional		$207.04	$260.00	$469.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.77 / $272.77 / $375.13	Professional		$272.77	$272.77	$375.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $211.62 / $308.91 / $612.66	Professional		$211.62	$308.91	$612.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $403.53 / $438.12 / $672.83	Facility		$403.53	$438.12	$672.83
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 $243.94 / $358.45 / $594.47	Professional		$243.94	$358.45	$594.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $211.39 / $274.81 / $484.05	Professional		$211.39	$274.81	$484.05
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 $222.80 / $316.77 / $515.60	Professional		$222.80	$316.77	$515.60