Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,390.87 / $1,652.52 / $2,634.00	Professional		$1,390.87	$1,652.52	$2,634.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,302.91 / $1,302.91 / $2,702.50	Professional		$1,302.91	$1,302.91	$2,702.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.34 / $2,413.41 / $5,404.98	Professional		$234.34	$2,413.41	$5,404.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $280.99 / $2,858.65 / $3,793.41	Facility		$280.99	$2,858.65	$3,793.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $280.99 / $280.99 / $3,037.31	Professional		$280.99	$280.99	$3,037.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,440.00 / $1,440.00 / $2,396.69	Facility		$1,440.00	$1,440.00	$2,396.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.64 / $1,440.00 / $3,832.50	Professional		$233.64	$1,440.00	$3,832.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $319.91 / $3,014.04 / $5,769.00	Professional		$319.91	$3,014.04	$5,769.00
United Facility/Professional Professional Modifier Low / Median / High Price $925.65 / $1,388.47 / $2,721.00	Professional		$925.65	$1,388.47	$2,721.00