Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,988.00 / $9,000.00 / $28,831.00	Facility		$3,988.00	$9,000.00	$28,831.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $205.62 / $205.62 / $382.55	Facility	53	$205.62	$205.62	$382.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $958.06 / $1,248.07 / $2,496.13	Professional		$958.06	$1,248.07	$2,496.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,328.85 / $1,644.76 / $2,148.80	Professional		$1,328.85	$1,644.76	$2,148.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,439.08 / $10,059.81 / $22,488.92	Facility		$2,439.08	$10,059.81	$22,488.92
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $996.01 / $1,854.04 / $2,488.98	Professional		$996.01	$1,854.04	$2,488.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $911.75 / $1,240.26 / $1,360.26	Facility		$911.75	$1,240.26	$1,360.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,145.07 / $1,158.88 / $2,102.55	Professional		$1,145.07	$1,158.88	$2,102.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,882.00 / $10,655.00 / $16,211.00	Facility		$5,882.00	$10,655.00	$16,211.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,284.43 / $1,891.95 / $3,151.57	Professional		$1,284.43	$1,891.95	$3,151.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,094.09 / $1,276.45 / $5,295.00	Professional		$1,094.09	$1,276.45	$5,295.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,423.00 / $15,221.00 / $34,469.00	Facility		$2,423.00	$15,221.00	$34,469.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,176.00 / $1,665.95 / $2,608.26	Professional		$1,176.00	$1,665.95	$2,608.26