Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.87 / $1,676.16 / $5,918.00	Facility		$162.87	$1,676.16	$5,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.79 / $160.30 / $409.20	Professional		$100.79	$160.30	$409.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.89 / $175.89 / $351.08	Professional		$175.89	$175.89	$351.08
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.30 / $221.88 / $495.57	Professional		$119.30	$221.88	$495.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $104.39 / $140.71 / $151.37	Facility		$104.39	$140.71	$151.37
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.76 / $186.39 / $322.43	Professional		$183.76	$186.39	$322.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $458.87 / $458.87 / $458.87	Facility		$458.87	$458.87	$458.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.63 / $260.98 / $457.30	Professional		$144.63	$260.98	$457.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.27 / $178.28 / $507.54	Professional		$125.27	$178.28	$507.54
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00
United Facility/Professional Professional Modifier Low / Median / High Price $162.57 / $292.89 / $530.96	Professional		$162.57	$292.89	$530.96