Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.92 / $920.13 / $1,446.43	Facility		$717.92	$920.13	$1,446.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $681.32 / $982.87 / $2,718.84	Professional		$681.32	$982.87	$2,718.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,465.40 / $1,804.69 / $1,892.92	Professional		$1,465.40	$1,804.69	$1,892.92
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 $754.00 / $1,063.98 / $2,047.02	Professional		$754.00	$1,063.98	$2,047.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $789.29 / $1,075.34 / $1,190.57	Facility		$789.29	$1,075.34	$1,190.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,263.33 / $1,272.16 / $2,295.52	Professional		$1,263.33	$1,272.16	$2,295.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.18 / $1,165.06 / $2,009.29	Professional		$720.18	$1,165.06	$2,009.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $868.22 / $1,183.94 / $1,529.34	Professional		$868.22	$1,183.94	$1,529.34
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 $803.35 / $1,179.25 / $2,194.81	Professional		$803.35	$1,179.25	$2,194.81