Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,602.00 / $5,901.84 / $9,846.10	Facility		$1,602.00	$5,901.84	$9,846.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.38 / $1,251.15 / $4,426.50	Professional		$258.38	$1,251.15	$4,426.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $432.46 / $432.46 / $3,172.41	Professional		$432.46	$432.46	$3,172.41
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,749.00 / $4,571.60 / $8,545.91	Facility		$1,749.00	$4,571.60	$8,545.91
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.98 / $989.32 / $4,492.85	Professional		$323.98	$989.32	$4,492.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $240.93 / $326.10 / $361.04	Facility		$240.93	$326.10	$361.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,281.84 / $2,285.82 / $3,888.54	Professional		$2,281.84	$2,285.82	$3,888.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,811.32 / $6,918.00 / $9,852.00	Facility		$2,811.32	$6,918.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $339.41 / $1,806.28 / $4,558.89	Professional		$339.41	$1,806.28	$4,558.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.02 / $2,097.98 / $3,289.38	Professional		$265.02	$2,097.98	$3,289.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,802.88 / $2,607.23 / $4,543.47	Professional		$1,802.88	$2,607.23	$4,543.47