Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,914.35 / $2,274.48 / $3,461.60	Professional		$1,914.35	$2,274.48	$3,461.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,493.53 / $3,493.53 / $4,499.12	Professional		$3,493.53	$3,493.53	$4,499.12
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $346.16 / $3,278.31 / $6,823.44	Professional		$346.16	$3,278.31	$6,823.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $383.57 / $414.87 / $3,786.75	Facility		$383.57	$414.87	$3,786.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $383.57 / $383.57 / $414.87	Professional		$383.57	$383.57	$414.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,200.00 / $2,200.00 / $3,165.30	Facility		$2,200.00	$2,200.00	$3,165.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.66 / $2,200.00 / $5,231.25	Professional		$354.66	$2,200.00	$5,231.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $556.65 / $3,850.55 / $25,644.00	Professional		$556.65	$3,850.55	$25,644.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,550.35 / $2,333.34 / $4,381.10	Professional		$1,550.35	$2,333.34	$4,381.10