Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $3,715.35 / $7,413.10	Facility		$512.86	$3,715.35	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $109.65 / $213.80	Professional		$67.61	$109.65	$213.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $83.18 / $134.90	Professional		$66.07	$83.18	$134.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,365.16 / $10,000.00	Facility		$1,513.56	$4,365.16	$10,000.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $128.82 / $181.97	Professional		$66.07	$128.82	$181.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Facility		$549.54	$549.54	$549.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $123.03 / $204.17	Professional		$83.18	$123.03	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $128.82	Professional		$67.61	$85.11	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,235.94 / $7,943.28	Facility		$575.44	$3,235.94	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $169.82	Professional		$75.86	$107.15	$169.82