Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,736.94 / $1,736.94 / $4,920.10	Facility		$1,736.94	$1,736.94	$4,920.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,736.94 / $2,482.13 / $3,075.71	Professional		$1,736.94	$2,482.13	$3,075.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,656.19 / $1,656.19 / $1,656.19	Professional		$1,656.19	$1,656.19	$1,656.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,169.58 / $5,837.41 / $15,302.36	Facility		$4,169.58	$5,837.41	$15,302.36
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,222.94 / $3,466.94 / $6,656.52	Professional		$2,222.94	$3,466.94	$6,656.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,544.14 / $3,950.89 / $7,713.72	Facility		$3,544.14	$3,950.89	$7,713.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,544.14 / $3,544.14 / $3,544.14	Professional		$3,544.14	$3,544.14	$3,544.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,006.81 / $3,006.81 / $3,006.81	Facility		$3,006.81	$3,006.81	$3,006.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,194.96 / $2,942.20 / $5,388.75	Professional		$2,194.96	$2,942.20	$5,388.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,168.88 / $4,169.58 / $5,792.90	Professional		$3,168.88	$4,169.58	$5,792.90
United Facility/Professional Professional Modifier Low / Median / High Price $1,386.78 / $2,080.16 / $3,431.89	Professional		$1,386.78	$2,080.16	$3,431.89