Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.72 / $3,826.00 / $6,915.00	Facility		$101.72	$3,826.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.21 / $131.79 / $305.77	Professional		$88.21	$131.79	$305.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $159.33 / $183.20 / $229.68	Professional		$159.33	$183.20	$229.68
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 $103.86 / $165.63 / $279.77	Professional		$103.86	$165.63	$279.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.44 / $120.15 / $143.25	Facility		$107.44	$120.15	$143.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $269.67 / $269.67 / $269.67	Professional		$269.67	$269.67	$269.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.17 / $84.17 / $84.17	Facility		$84.17	$84.17	$84.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.87 / $173.33 / $289.58	Professional		$108.87	$173.33	$289.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $98.48 / $142.27 / $185.57	Professional		$98.48	$142.27	$185.57
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.77 / $159.27 / $294.70	Professional		$116.77	$159.27	$294.70