Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,127.92 / $1,340.10 / $2,045.40	Professional		$1,127.92	$1,340.10	$2,045.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,279.34 / $2,279.34 / $2,658.32	Professional		$2,279.34	$2,279.34	$2,658.32
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $204.54 / $1,937.21 / $4,020.30	Professional		$204.54	$1,937.21	$4,020.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.64 / $242.52 / $2,378.38	Facility		$226.64	$242.52	$2,378.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $226.64 / $226.64 / $242.52	Professional		$226.64	$226.64	$242.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,870.38	Facility		$1,350.00	$1,350.00	$1,870.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.56 / $1,350.00 / $3,090.00	Professional		$209.56	$1,350.00	$3,090.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $319.91 / $2,250.73 / $6,840.00	Professional		$319.91	$2,250.73	$6,840.00
United Facility/Professional Professional Modifier Low / Median / High Price $889.04 / $1,492.60 / $2,724.58	Professional		$889.04	$1,492.60	$2,724.58