Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $794.33 / $1,479.11	Facility		$794.33	$794.33	$1,479.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $794.33 / $933.25	Professional		$537.03	$794.33	$933.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $50.12 / $50.12	Professional		$50.12	$50.12	$50.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $794.33 / $2,454.71 / $2,951.21	Facility		$794.33	$2,454.71	$2,951.21
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $616.60 / $1,258.93	Professional		$60.26	$616.60	$1,258.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $1,318.26 / $1,778.28	Facility		$173.78	$1,318.26	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $1,047.13	Professional		$295.12	$295.12	$1,047.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $676.08 / $891.25	Professional		$158.49	$676.08	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $81.28 / $812.83	Facility		$40.74	$81.28	$812.83
United Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $1,318.26 / $2,041.74	Professional		$323.59	$1,318.26	$2,041.74