Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,375.33 / $16,235.31 / $20,918.86	Facility		$1,375.33	$16,235.31	$20,918.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,375.33 / $1,650.39 / $2,200.52	Professional		$1,375.33	$1,650.39	$2,200.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,704.78 / $2,443.12 / $2,476.14	Professional		$1,704.78	$2,443.12	$2,476.14
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,301.52 / $4,622.13 / $12,116.58	Facility		$3,301.52	$4,622.13	$12,116.58
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,736.78 / $2,745.16 / $5,270.71	Professional		$1,736.78	$2,745.16	$5,270.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,342.42 / $2,806.29 / $6,107.81	Facility		$2,342.42	$2,806.29	$6,107.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,806.29 / $2,806.29 / $2,806.29	Professional		$2,806.29	$2,806.29	$2,806.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,721.98 / $1,721.98 / $1,721.98	Facility		$1,721.98	$1,721.98	$1,721.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,257.05 / $1,721.98 / $3,682.38	Professional		$1,257.05	$1,721.98	$3,682.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,509.16 / $3,301.52 / $4,587.24	Professional		$2,509.16	$3,301.52	$4,587.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,145.70 / $1,647.10 / $2,717.40	Professional		$1,145.70	$1,647.10	$2,717.40