Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $4,168.69 / $7,413.10	Facility		$1,862.09	$4,168.69	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $1,047.13 / $4,570.88	Professional		$380.19	$1,047.13	$4,570.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $707.95 / $3,548.13	Professional		$426.58	$707.95	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $4,265.80 / $12,022.64	Facility		$1,202.26	$4,265.80	$12,022.64
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $630.96 / $1,096.48	Professional		$426.58	$630.96	$1,096.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,905.46 / $2,089.30 / $2,818.38	Professional		$1,905.46	$2,089.30	$2,818.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $7,244.36 / $10,000.00	Facility		$2,570.40	$7,244.36	$10,000.00
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $141.25 / $141.25 / $141.25	Facility	53	$141.25	$141.25	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $977.24 / $4,466.84	Professional		$467.74	$977.24	$4,466.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $2,630.27 / $6,165.95	Professional		$436.52	$2,630.27	$6,165.95
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $407.38 / $407.38 / $2,137.96	Professional	53	$407.38	$407.38	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $7,943.28 / $19,952.62	Facility		$2,754.23	$7,943.28	$19,952.62
United Facility/Professional Professional Modifier Low / Median / High Price $407.38 / $1,318.26 / $3,311.31	Professional		$407.38	$1,318.26	$3,311.31