Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.60 / $2,987.00 / $6,915.00	Facility		$206.60	$2,987.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.63 / $209.74 / $354.60	Professional		$124.63	$209.74	$354.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $369.00 / $369.00 / $369.00	Professional		$369.00	$369.00	$369.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,557.00 / $5,240.56	Facility		$775.91	$2,557.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.50 / $180.38 / $361.48	Professional		$128.50	$180.38	$361.48
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $192.75 / $270.57 / $542.22	Professional	50	$192.75	$270.57	$542.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $221.87 / $269.45 / $74,999.25	Facility		$221.87	$269.45	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.41 / $184.27 / $411.00	Facility		$147.41	$184.27	$411.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.36 / $259.31 / $514.76	Professional		$140.36	$259.31	$514.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.10 / $269.83 / $1,018.81	Professional		$147.10	$269.83	$1,018.81
United Facility/Professional Facility Modifier Low / Median / High Price $567.00 / $3,100.00 / $5,352.00	Facility		$567.00	$3,100.00	$5,352.00
United Facility/Professional Professional Modifier Low / Median / High Price $198.49 / $265.69 / $464.14	Professional		$198.49	$265.69	$464.14