Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.20 / $3,198.00 / $6,915.00	Facility		$718.20	$3,198.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.21 / $406.30 / $851.85	Professional		$180.21	$406.30	$851.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.96 / $312.35 / $705.60	Professional		$208.96	$312.35	$705.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $6,671.99 / $35,850.44	Facility		$996.37	$6,671.99	$35,850.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $340.87 / $553.15 / $1,008.98	Professional		$340.87	$553.15	$1,008.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $769.30 / $769.30 / $769.30	Facility		$769.30	$769.30	$769.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.23 / $6,918.00 / $36,157.93	Facility		$387.23	$6,918.00	$36,157.93
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $38.33 / $38.33 / $38.33	Facility	AS	$38.33	$38.33	$38.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.61 / $600.51 / $1,061.28	Professional		$390.61	$600.51	$1,061.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $386.95 / $568.65 / $1,387.29	Professional		$386.95	$568.65	$1,387.29
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $31.14 / $31.14 / $31.14	Professional	80	$31.14	$31.14	$31.14
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $15.57 / $15.57 / $15.57	Professional	AS	$15.57	$15.57	$15.57
United Facility/Professional Facility Modifier Low / Median / High Price $4,667.00 / $13,907.00 / $56,095.00	Facility		$4,667.00	$13,907.00	$56,095.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.11 / $533.27 / $881.86	Professional		$318.11	$533.27	$881.86