Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,432.56 / $1,432.56 / $4,057.93	Facility		$1,432.56	$1,432.56	$4,057.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,432.56 / $1,867.99 / $2,848.01	Professional		$1,432.56	$1,867.99	$2,848.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,365.96 / $2,544.80 / $4,470.60	Professional		$1,365.96	$2,544.80	$4,470.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,438.92 / $4,814.49 / $12,620.84	Facility		$3,438.92	$4,814.49	$12,620.84
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,833.39 / $2,859.40 / $5,490.05	Professional		$1,833.39	$2,859.40	$5,490.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,923.08 / $3,147.49 / $6,362.00	Facility		$2,923.08	$3,147.49	$6,362.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $2,923.08 / $2,923.08 / $2,923.08	Professional		$2,923.08	$2,923.08	$2,923.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $2,400.00	Facility		$2,400.00	$2,400.00	$2,400.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,752.00 / $2,343.90 / $4,293.00	Professional		$1,752.00	$2,343.90	$4,293.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,613.58 / $3,438.92 / $4,778.21	Professional		$2,613.58	$3,438.92	$4,778.21
United Facility/Professional Professional Modifier Low / Median / High Price $1,283.95 / $1,715.64 / $2,830.50	Professional		$1,283.95	$1,715.64	$2,830.50