Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,129.28 / $2,568.59 / $3,393.46	Professional		$2,129.28	$2,568.59	$3,393.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,144.69 / $2,144.69 / $2,144.69	Professional		$2,144.69	$2,144.69	$2,144.69
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $341.01 / $2,956.33 / $8,289.62	Professional		$341.01	$2,956.33	$8,289.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $350.03 / $416.29 / $5,020.77	Facility		$350.03	$416.29	$5,020.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $371.91 / $371.91 / $371.91	Professional		$371.91	$371.91	$371.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,432.58 / $2,673.00 / $2,673.00	Facility		$2,432.58	$2,673.00	$2,673.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.88 / $2,673.00 / $5,073.75	Professional		$343.88	$2,673.00	$5,073.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,854.53 / $3,854.53 / $3,854.53	Professional		$3,854.53	$3,854.53	$3,854.53
United Facility/Professional Professional Modifier Low / Median / High Price $1,119.31 / $2,228.05 / $4,666.01	Professional		$1,119.31	$2,228.05	$4,666.01