Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $772.08 / $1,214.63 / $3,671.27	Facility		$772.08	$1,214.63	$3,671.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,214.63 / $1,724.22	Professional		$1,000.00	$1,214.63	$1,724.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,092.48 / $1,092.48 / $1,092.48	Professional		$1,092.48	$1,092.48	$1,092.48
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,214.63 / $1,317.87 / $1,317.87	Facility		$1,214.63	$1,317.87	$1,317.87
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,214.63 / $1,384.68 / $1,384.68	Professional		$1,214.63	$1,384.68	$1,384.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,275.36 / $2,499.71	Facility		$1,238.93	$1,275.36	$2,499.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Facility		$1,238.93	$1,238.93	$1,238.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $813.10 / $953.51 / $1,982.29	Professional		$813.10	$953.51	$1,982.29
United Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $1,214.63 / $1,340.08	Professional		$485.85	$1,214.63	$1,340.08