Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,993.57 / $15,521.88 / $47,147.65	Facility		$1,993.57	$15,521.88	$47,147.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,993.57 / $2,369.29 / $3,375.73	Professional		$1,993.57	$2,369.29	$3,375.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,541.37 / $3,541.37 / $3,541.37	Professional		$3,541.37	$3,541.37	$3,541.37
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,785.63 / $6,699.88 / $17,563.25	Facility		$4,785.63	$6,699.88	$17,563.25
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,517.51 / $3,979.17 / $7,640.01	Professional		$2,517.51	$3,979.17	$7,640.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,353.11 / $4,067.79 / $8,853.42	Facility		$3,353.11	$4,067.79	$8,853.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,067.79 / $4,067.79 / $4,067.79	Professional		$4,067.79	$4,067.79	$4,067.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,481.10 / $2,481.10 / $2,481.10	Facility		$2,481.10	$2,481.10	$2,481.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,811.20 / $2,481.10 / $4,999.88	Professional		$1,811.20	$2,481.10	$4,999.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,637.08 / $4,785.63 / $6,648.98	Professional		$3,637.08	$4,785.63	$6,648.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,213.08 / $2,600.65 / $2,965.23	Facility		$1,213.08	$2,600.65	$2,965.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,591.67 / $2,387.50 / $3,979.17	Professional		$1,591.67	$2,387.50	$3,979.17