Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $145.18 / $943.08 / $3,686.00	Facility		$145.18	$943.08	$3,686.00
Aetna Facility/Professional Facility Modifier 25 Low / Median / High Price $1,473.53 / $1,616.59 / $3,686.00	Facility	25	$1,473.53	$1,616.59	$3,686.00
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $79.73 / $171.95 / $1,088.00	Professional	25	$79.73	$171.95	$1,088.00
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $192.74 / $310.06 / $625.20	Professional	25	$192.74	$310.06	$625.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,994.36 / $2,486.30 / $2,736.80	Facility		$1,994.36	$2,486.30	$2,736.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $201.12 / $244.70 / $496.33	Facility		$201.12	$244.70	$496.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.55 / $255.83 / $553.88	Professional		$170.55	$255.83	$553.88