Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,310.88 / $5,121.84 / $8,163.80	Professional		$4,310.88	$5,121.84	$8,163.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,310.03 / $2,310.03 / $2,310.03	Professional		$2,310.03	$2,310.03	$2,310.03
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $653.85 / $6,830.67 / $17,930.50	Professional		$653.85	$6,830.67	$17,930.50
CareSource Facility/Professional Facility Modifier Low / Median / High Price $665.05 / $870.91 / $11,757.29	Facility		$665.05	$870.91	$11,757.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $870.91 / $870.91 / $870.91	Professional		$870.91	$870.91	$870.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $775.57 / $4,321.80 / $4,952.16	Facility		$775.57	$4,321.80	$4,952.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $724.15 / $3,896.82 / $14,850.00	Professional		$724.15	$3,896.82	$14,850.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,388.68 / $5,388.68 / $5,388.68	Professional		$5,388.68	$5,388.68	$5,388.68
United Facility/Professional Professional Modifier Low / Median / High Price $2,008.65 / $3,349.22 / $6,395.50	Professional		$2,008.65	$3,349.22	$6,395.50