Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,192.81 / $1,192.81 / $3,378.79	Facility		$1,192.81	$1,192.81	$3,378.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,110.67 / $1,464.52 / $1,908.49	Professional		$1,110.67	$1,464.52	$1,908.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,706.03 / $2,118.90 / $2,118.90	Professional		$1,706.03	$2,118.90	$2,118.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,863.38 / $4,008.73 / $10,508.60	Facility		$2,863.38	$4,008.73	$10,508.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,506.29 / $2,380.85 / $4,571.22	Professional		$1,506.29	$2,380.85	$4,571.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,039.12 / $2,515.12 / $5,297.25	Facility		$2,039.12	$2,515.12	$5,297.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,433.87 / $2,433.87 / $2,433.87	Professional		$2,433.87	$2,433.87	$2,433.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $1,800.00	Facility		$1,800.00	$1,800.00	$1,800.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,314.00 / $1,800.00 / $3,053.35	Professional		$1,314.00	$1,800.00	$3,053.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,176.17 / $2,863.38 / $3,978.39	Professional		$2,176.17	$2,863.38	$3,978.39
United Facility/Professional Professional Modifier Low / Median / High Price $952.34 / $1,428.51 / $2,356.78	Professional		$952.34	$1,428.51	$2,356.78