Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $391.78 / $549.28 / $1,835.52	Facility		$391.78	$549.28	$1,835.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.87 / $531.74 / $1,295.58	Professional		$371.87	$531.74	$1,295.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $541.14 / $984.98 / $1,033.55	Professional		$541.14	$984.98	$1,033.55
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $427.66 / $601.29 / $1,149.93	Professional		$427.66	$601.29	$1,149.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $429.63 / $585.19 / $647.88	Facility		$429.63	$585.19	$647.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $689.77 / $694.74 / $1,252.03	Professional		$689.77	$694.74	$1,252.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $398.85 / $651.82 / $1,109.25	Professional		$398.85	$651.82	$1,109.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $472.59 / $644.45 / $835.04	Professional		$472.59	$644.45	$835.04
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 $470.46 / $658.64 / $1,199.20	Professional		$470.46	$658.64	$1,199.20