Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,124.84 / $4,900.80 / $7,456.10	Professional		$4,124.84	$4,900.80	$7,456.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,845.16 / $4,845.16 / $7,250.89	Professional		$4,845.16	$4,845.16	$7,250.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $745.61 / $7,061.00 / $14,702.40	Professional		$745.61	$7,061.00	$14,702.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $826.17 / $894.77 / $8,072.66	Facility		$826.17	$894.77	$8,072.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $826.17 / $826.17 / $894.77	Professional		$826.17	$826.17	$894.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5,900.00 / $5,900.00 / $6,817.86	Facility		$5,900.00	$5,900.00	$6,817.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $763.91 / $5,900.00 / $11,268.75	Professional		$763.91	$5,900.00	$11,268.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,182.59 / $8,304.20 / $23,222.00	Professional		$1,182.59	$8,304.20	$23,222.00
United Facility/Professional Professional Modifier Low / Median / High Price $3,251.20 / $5,032.43 / $8,741.27	Professional		$3,251.20	$5,032.43	$8,741.27