Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,317.80 / $5,130.06 / $8,087.58	Professional		$4,317.80	$5,130.06	$8,087.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4,667.89 / $4,667.89 / $4,667.89	Professional		$4,667.89	$4,667.89	$4,667.89
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $654.91 / $7,267.58 / $17,959.37	Professional		$654.91	$7,267.58	$17,959.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $717.19 / $872.31 / $11,776.22	Facility		$717.19	$872.31	$11,776.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $872.31 / $872.31 / $872.31	Professional		$872.31	$872.31	$872.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,488.00 / $4,978.93 / $4,978.93	Facility		$4,488.00	$4,978.93	$4,978.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $725.31 / $4,400.00 / $14,873.44	Professional		$725.31	$4,400.00	$14,873.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,397.33 / $5,397.33 / $5,397.33	Professional		$5,397.33	$5,397.33	$5,397.33
United Facility/Professional Professional Modifier Low / Median / High Price $2,275.46 / $3,620.57 / $6,405.62	Professional		$2,275.46	$3,620.57	$6,405.62