Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,853.50 / $4,708.00 / $8,331.00	Facility		$1,853.50	$4,708.00	$8,331.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,293.41 / $1,605.31 / $4,223.96	Professional		$1,293.41	$1,605.31	$4,223.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,821.84 / $2,821.84 / $2,821.84	Professional		$2,821.84	$2,821.84	$2,821.84
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.26 / $4,412.76 / $8,702.00	Facility		$1,376.26	$4,412.76	$8,702.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,397.40 / $2,006.99 / $3,632.22	Professional		$1,397.40	$2,006.99	$3,632.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,233.07 / $2,233.07 / $2,233.07	Facility		$2,233.07	$2,233.07	$2,233.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,599.88 / $2,500.00	Facility		$500.00	$1,599.88	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,492.46 / $2,315.21 / $3,654.23	Professional		$1,492.46	$2,315.21	$3,654.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,534.01 / $2,352.10 / $3,691.24	Professional		$1,534.01	$2,352.10	$3,691.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,255.88 / $1,945.81 / $3,382.34	Professional		$1,255.88	$1,945.81	$3,382.34