Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.82 / $3,295.00 / $6,915.00	Facility		$45.82	$3,295.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.53 / $49.53 / $100.15	Professional		$34.53	$49.53	$100.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.36 / $41.36 / $41.36	Professional		$41.36	$41.36	$41.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $746.52 / $2,085.16 / $3,851.83	Facility		$746.52	$2,085.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.71 / $53.34 / $99.78	Professional		$33.71	$53.34	$99.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.05 / $87.05 / $87.05	Facility		$87.05	$87.05	$87.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.70 / $58.29 / $860.00	Facility		$26.70	$58.29	$860.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $69.41 / $116.94	Professional		$41.05	$69.41	$116.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $41.89 / $58.00 / $126.01	Professional		$41.89	$58.00	$126.01
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00
United Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $74.25 / $117.69	Professional		$41.29	$74.25	$117.69