Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $992.62 / $12,778.37 / $18,566.00	Facility		$992.62	$12,778.37	$18,566.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $992.62 / $1,255.38 / $1,819.70	Professional		$992.62	$1,255.38	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,546.74 / $1,546.74 / $1,546.74	Professional		$1,546.74	$1,546.74	$1,546.74
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,090.19 / $2,926.27 / $7,671.00	Facility		$2,090.19	$2,926.27	$7,671.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,114.34 / $1,737.95 / $3,336.86	Professional		$1,114.34	$1,737.95	$3,336.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,776.66 / $1,898.69 / $3,866.85	Facility		$1,776.66	$1,898.69	$3,866.85
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,776.66 / $1,776.66 / $1,776.66	Professional		$1,776.66	$1,776.66	$1,776.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,306.07 / $1,306.07 / $1,306.07	Facility		$1,306.07	$1,306.07	$1,306.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $953.43 / $1,306.07 / $2,589.75	Professional		$953.43	$1,306.07	$2,589.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,588.54 / $2,090.19 / $3,155.58	Professional		$1,588.54	$2,090.19	$3,155.58
United Facility/Professional Professional Modifier Low / Median / High Price $695.18 / $1,042.77 / $1,720.39	Professional		$695.18	$1,042.77	$1,720.39