Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.58 / $3,391.00 / $6,915.00	Facility		$128.58	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.88 / $94.91 / $216.35	Professional		$61.88	$94.91	$216.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.04 / $113.04 / $136.87	Professional		$113.04	$113.04	$136.87
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,842.74 / $14,965.63	Facility		$1,538.99	$5,842.74	$14,965.63
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.63 / $110.36 / $201.90	Professional		$74.63	$110.36	$201.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.72 / $100.28 / $111.03	Facility		$73.72	$100.28	$111.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $94.34 / $168.95	Professional		$92.85	$94.34	$168.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.62 / $129.75 / $208.47	Professional		$82.62	$129.75	$208.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $73.72 / $95.84 / $124.59	Professional		$73.72	$95.84	$124.59
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $113.32 / $175.53	Professional		$80.77	$113.32	$175.53