Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $904.96 / $904.96 / $2,563.42	Facility		$904.96	$904.96	$2,563.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $904.96 / $1,247.71 / $1,725.74	Professional		$904.96	$1,247.71	$1,725.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $862.89 / $862.89 / $862.89	Professional		$862.89	$862.89	$862.89
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,172.39 / $3,041.35 / $7,972.67	Facility		$2,172.39	$3,041.35	$7,972.67
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,158.17 / $1,806.30 / $3,468.10	Professional		$1,158.17	$1,806.30	$3,468.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,846.53 / $2,102.35 / $4,018.92	Facility		$1,846.53	$2,102.35	$4,018.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,846.53 / $1,846.53 / $1,846.53	Professional		$1,846.53	$1,846.53	$1,846.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,599.98 / $1,599.98 / $1,599.98	Facility		$1,599.98	$1,599.98	$1,599.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,167.99 / $1,565.61 / $2,867.25	Professional		$1,167.99	$1,565.61	$2,867.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,651.02 / $2,172.39 / $3,018.27	Professional		$1,651.02	$2,172.39	$3,018.27
United Facility/Professional Professional Modifier Low / Median / High Price $722.52 / $1,083.78 / $1,788.04	Professional		$722.52	$1,083.78	$1,788.04