Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.37 / $2,987.00 / $6,915.00	Facility		$77.37	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $101.14 / $217.99	Professional		$57.66	$101.14	$217.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.40 / $173.37 / $173.37	Professional		$162.40	$173.37	$173.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,080.80 / $3,851.83	Facility		$734.14	$2,080.80	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $121.99 / $210.83	Professional		$70.56	$121.99	$210.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.91 / $78.47 / $86.88	Facility		$57.91	$78.47	$86.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.93 / $116.09 / $202.92	Professional		$114.93	$116.09	$202.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.37 / $65.37 / $65.37	Facility		$65.37	$65.37	$65.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.16 / $123.00 / $218.57	Professional		$73.16	$123.00	$218.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $102.72 / $157.49	Professional		$63.70	$102.72	$157.49
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 $89.71 / $122.31 / $205.04	Professional		$89.71	$122.31	$205.04