Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.30 / $3,391.00 / $6,915.00	Facility		$55.30	$3,391.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.86 / $116.13 / $254.18	Professional		$29.86	$116.13	$254.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.08 / $164.08 / $193.04	Professional		$164.08	$164.08	$193.04
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 $29.78 / $48.70 / $98.71	Professional		$29.78	$48.70	$98.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $166.30 / $166.30 / $166.30	Facility		$166.30	$166.30	$166.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.00 / $51.00 / $640.00	Facility		$51.00	$51.00	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $125.83 / $282.44	Professional		$38.29	$125.83	$282.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.86 / $129.53 / $611.00	Professional		$34.86	$129.53	$611.00
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 $110.13 / $185.18 / $296.64	Professional		$110.13	$185.18	$296.64