Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.35 / $112.35 / $112.35	Professional		$112.35	$112.35	$112.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $975.37 / $1,147.50 / $1,147.50	Professional		$975.37	$1,147.50	$1,147.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $258.19 / $349.31 / $2,581.88	Facility		$258.19	$349.31	$2,581.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $1,150.00 / $1,200.00	Facility		$1,150.00	$1,150.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $1,150.00	Professional		$839.50	$977.50	$1,150.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.00 / $29.00 / $29.00	Professional		$29.00	$29.00	$29.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.72 / $438.22 / $1,500.00	Professional		$279.72	$438.22	$1,500.00