Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,859.51 / $3,397.44 / $5,356.08	Professional		$2,859.51	$3,397.44	$5,356.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,864.68 / $4,864.68 / $4,864.68	Professional		$4,864.68	$4,864.68	$4,864.68
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $486.43 / $5,097.37 / $11,112.08	Professional		$486.43	$5,097.37	$11,112.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $543.72 / $577.70 / $6,829.00	Facility		$543.72	$577.70	$6,829.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $577.70 / $577.70 / $577.70	Professional		$577.70	$577.70	$577.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,900.00 / $2,900.00 / $4,927.32	Facility		$2,900.00	$2,900.00	$4,927.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.34 / $2,900.00 / $7,878.75	Professional		$480.34	$2,900.00	$7,878.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $657.95 / $6,196.76 / $23,585.00	Professional		$657.95	$6,196.76	$23,585.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,903.16 / $3,064.47 / $5,593.88	Professional		$1,903.16	$3,064.47	$5,593.88