Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $541.79 / $2,987.00 / $6,915.00	Facility		$541.79	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.25 / $530.51 / $825.70	Professional		$411.25	$530.51	$825.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $767.34 / $796.00 / $813.43	Professional		$767.34	$796.00	$813.43
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.71 / $1,949.16 / $3,851.83	Facility		$579.71	$1,949.16	$3,851.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.54 / $555.22 / $1,028.22	Professional		$409.54	$555.22	$1,028.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $709.68 / $864.27 / $74,999.25	Facility		$709.68	$864.27	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.60 / $342.00 / $411.00	Facility		$273.60	$342.00	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $394.95 / $588.96 / $1,118.99	Professional		$394.95	$588.96	$1,118.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $471.85 / $656.48 / $3,305.22	Professional		$471.85	$656.48	$3,305.22
United Facility/Professional Facility Modifier Low / Median / High Price $410.00 / $2,300.00 / $4,066.00	Facility		$410.00	$2,300.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $438.26 / $610.22 / $1,093.46	Professional		$438.26	$610.22	$1,093.46