Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $9,842.00 / $24,401.65	Facility		$1,791.00	$9,842.00	$24,401.65
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $269.11 / $269.11 / $310.77	Facility	52	$269.11	$269.11	$310.77
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $107.64 / $107.64 / $124.31	Facility	53	$107.64	$107.64	$124.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $538.21 / $726.38 / $1,586.41	Professional		$538.21	$726.38	$1,586.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $717.87 / $966.37 / $1,051.69	Professional		$717.87	$966.37	$1,051.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,258.84 / $10,793.60 / $25,198.09	Facility		$2,258.84	$10,793.60	$25,198.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $603.87 / $918.65 / $1,529.55	Professional		$603.87	$918.65	$1,529.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $566.46 / $773.09 / $849.17	Facility		$566.46	$773.09	$849.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $712.87 / $721.80 / $1,312.57	Professional		$712.87	$721.80	$1,312.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,105.00 / $11,616.00 / $25,173.00	Facility		$8,105.00	$11,616.00	$25,173.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $699.38 / $1,008.50 / $1,782.83	Professional		$699.38	$1,008.50	$1,782.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $679.75 / $793.04 / $3,118.00	Professional		$679.75	$793.04	$3,118.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,725.00 / $13,746.00 / $24,000.00	Facility		$2,725.00	$13,746.00	$24,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.96 / $865.14 / $1,499.19	Professional		$617.96	$865.14	$1,499.19