Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $929.78 / $4,922.22 / $5,682.49	Facility		$929.78	$4,922.22	$5,682.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $880.84 / $1,087.68 / $1,588.29	Professional		$880.84	$1,087.68	$1,588.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,448.82 / $1,448.82 / $2,236.00	Professional		$1,448.82	$1,448.82	$2,236.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,957.87 / $2,741.02 / $7,185.38	Facility		$1,957.87	$2,741.02	$7,185.38
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,043.81 / $1,627.93 / $3,125.63	Professional		$1,043.81	$1,627.93	$3,125.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,500.39 / $1,832.70 / $3,622.06	Facility		$1,500.39	$1,832.70	$3,622.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,664.19 / $1,664.19 / $1,664.19	Professional		$1,664.19	$1,664.19	$1,664.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,184.20 / $1,184.20 / $1,184.20	Facility		$1,184.20	$1,184.20	$1,184.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $864.47 / $864.47 / $2,358.44	Professional		$864.47	$864.47	$2,358.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,487.98 / $1,957.87 / $3,207.63	Professional		$1,487.98	$1,957.87	$3,207.63
United Facility/Professional Professional Modifier Low / Median / High Price $651.16 / $976.76 / $1,611.48	Professional		$651.16	$976.76	$1,611.48