Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,163.85 / $5,672.00 / $12,941.00	Facility		$1,163.85	$5,672.00	$12,941.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $885.62 / $1,148.11 / $1,184.40	Professional		$885.62	$1,148.11	$1,184.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,241.19 / $2,241.19 / $2,241.19	Professional		$2,241.19	$2,241.19	$2,241.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,360.54 / $7,050.74 / $13,165.98	Facility		$2,360.54	$7,050.74	$13,165.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $739.76 / $1,202.06 / $1,206.86	Professional		$739.76	$1,202.06	$1,206.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,973.52 / $2,321.78 / $2,793.75	Facility		$1,973.52	$2,321.78	$2,793.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,105.00 / $25,173.00 / $26,344.00	Facility		$8,105.00	$25,173.00	$26,344.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,315.61 / $1,710.29 / $2,499.66	Professional		$1,315.61	$1,710.29	$2,499.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,629.00 / $10,000.00	Facility		$1,036.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,265.15 / $1,809.16 / $2,832.77	Professional		$1,265.15	$1,809.16	$2,832.77