Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $2,137.96 / $3,467.37	Facility		$851.14	$2,137.96	$3,467.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $933.25 / $1,621.81	Professional		$776.25	$933.25	$1,621.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,348.96 / $1,348.96 / $1,445.44	Professional		$1,348.96	$1,348.96	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $4,365.16 / $6,760.83	Facility		$1,819.70	$4,365.16	$6,760.83
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $954.99 / $1,513.56 / $2,238.72	Professional		$954.99	$1,513.56	$2,238.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Facility		$1,513.56	$1,513.56	$1,513.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,513.56 / $1,513.56 / $1,513.56	Professional		$1,513.56	$1,513.56	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $1,174.90 / $2,884.03	Facility		$1,174.90	$1,174.90	$2,884.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $851.14 / $851.14 / $2,089.30	Professional		$851.14	$851.14	$2,089.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,819.70 / $2,511.89	Professional		$1,202.26	$1,819.70	$2,511.89
United Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $776.25 / $1,071.52	Facility		$501.19	$776.25	$1,071.52
United Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $851.14 / $1,548.82	Professional		$602.56	$851.14	$1,548.82