Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,662.41 / $3,163.26 / $4,305.00	Professional		$2,662.41	$3,163.26	$4,305.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,674.66 / $1,674.66 / $1,674.66	Professional		$1,674.66	$1,674.66	$1,674.66
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $437.38 / $3,783.07 / $10,365.37	Professional		$437.38	$3,783.07	$10,365.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $419.01 / $477.01 / $6,439.66	Facility		$419.01	$477.01	$6,439.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $477.01 / $477.01 / $477.01	Professional		$477.01	$477.01	$477.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,982.34 / $4,124.25 / $4,124.25	Facility		$2,982.34	$4,124.25	$4,124.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $441.07 / $4,124.25 / $6,506.25	Professional		$441.07	$4,124.25	$6,506.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,600.56 / $4,600.56 / $4,600.56	Professional		$4,600.56	$4,600.56	$4,600.56
United Facility/Professional Professional Modifier Low / Median / High Price $1,399.44 / $2,629.56 / $5,472.85	Professional		$1,399.44	$2,629.56	$5,472.85