Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,086.81 / $1,291.26 / $2,058.14	Professional		$1,086.81	$1,291.26	$2,058.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,799.11 / $1,799.11 / $1,799.11	Professional		$1,799.11	$1,799.11	$1,799.11
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,583.10 / $2,583.10 / $2,583.10	Facility		$2,583.10	$2,583.10	$2,583.10
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.13 / $1,901.61 / $4,223.34	Professional		$157.13	$1,901.61	$4,223.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $219.54 / $1,646.67 / $2,963.76	Facility		$219.54	$1,646.67	$2,963.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $219.54 / $1,646.67 / $2,195.64	Professional		$219.54	$1,646.67	$2,195.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,460.50 / $1,460.50 / $1,916.91	Facility		$1,460.50	$1,460.50	$1,916.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,241.43 / $1,460.50 / $2,994.75	Professional		$1,241.43	$1,460.50	$2,994.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $249.54 / $2,583.10 / $4,132.96	Professional		$249.54	$2,583.10	$4,132.96
United Facility/Professional Professional Modifier Low / Median / High Price $759.57 / $1,213.03 / $2,126.07	Professional		$759.57	$1,213.03	$2,126.07