Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,265.80 / $7,079.46 / $15,488.17	Facility		$4,265.80	$7,079.46	$15,488.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,096.48 / $1,778.28	Professional		$1,096.48	$1,096.48	$1,778.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $1,318.26 / $4,265.80	Professional		$707.95	$1,318.26	$4,265.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,570.88 / $12,302.69	Facility		$1,513.56	$4,570.88	$12,302.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $794.33 / $1,380.38	Professional		$588.84	$794.33	$1,380.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69,183.10 / $69,183.10 / $69,183.10	Professional		$69,183.10	$69,183.10	$69,183.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $831.76 / $9,772.37	Facility		$501.19	$831.76	$9,772.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $933.25 / $933.25	Professional		$933.25	$933.25	$933.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13,803.84 / $13,803.84 / $13,803.84	Professional		$13,803.84	$13,803.84	$13,803.84
United Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $5,370.32 / $10,964.78	Facility		$741.31	$5,370.32	$10,964.78