Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,379.09 / $1,379.09 / $3,906.47	Facility		$1,379.09	$1,379.09	$3,906.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,379.09 / $1,936.20 / $2,782.90	Professional		$1,379.09	$1,936.20	$2,782.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,972.47 / $1,972.47 / $1,972.47	Professional		$1,972.47	$1,972.47	$1,972.47
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,310.57 / $4,634.80 / $12,149.79	Facility		$3,310.57	$4,634.80	$12,149.79
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,764.96 / $2,752.68 / $5,285.15	Professional		$1,764.96	$2,752.68	$5,285.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,813.98 / $3,310.57 / $6,488.72	Facility		$2,813.98	$3,310.57	$6,488.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,813.98 / $2,813.98 / $2,813.98	Professional		$2,813.98	$2,813.98	$2,813.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,482.86 / $2,482.86 / $2,482.86	Facility		$2,482.86	$2,482.86	$2,482.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,812.49 / $2,429.50 / $4,423.43	Professional		$1,812.49	$2,429.50	$4,423.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,516.03 / $3,310.57 / $4,599.31	Professional		$2,516.03	$3,310.57	$4,599.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,018.03 / $2,182.50 / $2,488.46	Facility		$1,018.03	$2,182.50	$2,488.46
United Facility/Professional Professional Modifier Low / Median / High Price $1,101.07 / $1,651.61 / $2,724.86	Professional		$1,101.07	$1,651.61	$2,724.86