Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.08 / $2,987.00 / $6,915.00	Facility		$70.08	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.76 / $88.85 / $179.92	Professional		$37.76	$88.85	$179.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.62 / $181.62 / $181.62	Professional		$181.62	$181.62	$181.62
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 $40.40 / $64.91 / $119.62	Professional		$40.40	$64.91	$119.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $94.83 / $94.83 / $94.83	Facility		$94.83	$94.83	$94.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.06 / $69.06 / $640.00	Facility		$69.06	$69.06	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.73 / $89.94 / $195.97	Professional		$47.73	$89.94	$195.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $102.47 / $246.95	Professional		$47.90	$102.47	$246.95
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 $62.26 / $100.50 / $209.76	Professional		$62.26	$100.50	$209.76