Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,348.96 / $5,128.61	Facility		$524.81	$1,348.96	$5,128.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $645.65 / $1,000.00	Professional		$478.63	$645.65	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,000.00 / $1,445.44	Professional		$812.83	$1,000.00	$1,445.44
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $2,691.53 / $4,168.69	Facility		$1,122.02	$2,691.53	$4,168.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $912.01 / $1,412.54	Professional		$588.84	$912.01	$1,412.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Facility		$933.25	$933.25	$933.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $776.25 / $1,905.46	Facility		$776.25	$776.25	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $562.34 / $1,348.96	Professional		$562.34	$562.34	$1,348.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,122.02 / $1,584.89	Professional		$776.25	$1,122.02	$1,584.89
United Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $512.86 / $794.33	Facility		$323.59	$512.86	$794.33
United Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $549.54 / $1,071.52	Professional		$371.54	$549.54	$1,071.52