Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,326.27 / $5,063.00 / $7,421.00	Facility		$2,326.27	$5,063.00	$7,421.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,532.65 / $1,853.53 / $3,657.28	Professional		$1,532.65	$1,853.53	$3,657.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9,102.35 / $9,102.35 / $9,102.35	Professional		$9,102.35	$9,102.35	$9,102.35
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,688.45 / $2,496.42 / $4,387.91	Professional		$1,688.45	$2,496.42	$4,387.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,975.42 / $3,556.62 / $4,838.04	Facility		$2,975.42	$3,556.62	$4,838.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,928.89 / $2,500.00	Facility		$500.00	$1,928.89	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,814.03 / $2,703.19 / $4,366.10	Professional		$1,814.03	$2,703.19	$4,366.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,857.30 / $2,673.75 / $4,185.38	Professional		$1,857.30	$2,673.75	$4,185.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,517.55 / $2,324.29 / $3,831.67	Professional		$1,517.55	$2,324.29	$3,831.67