Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.11 / $3,826.00 / $6,915.00	Facility		$82.11	$3,826.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.88 / $100.77 / $228.66	Professional		$43.88	$100.77	$228.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.93 / $82.73 / $188.25	Professional		$46.93	$82.73	$188.25
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.12 / $70.70 / $132.94	Professional		$45.12	$70.70	$132.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.70 / $62.57 / $93.14	Facility		$47.70	$62.57	$93.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.87 / $106.22 / $114.39	Professional		$82.87	$106.22	$114.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.88 / $78.31 / $2,500.00	Facility		$77.88	$78.31	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.49 / $134.80 / $269.82	Professional		$59.49	$134.80	$269.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.63 / $107.55 / $781.59	Professional		$53.63	$107.55	$781.59
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 $99.47 / $174.56 / $258.13	Professional		$99.47	$174.56	$258.13