Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,720.40 / $1,720.40 / $4,873.27	Facility		$1,720.40	$1,720.40	$4,873.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,720.40 / $2,317.41 / $3,460.95	Professional		$1,720.40	$2,317.41	$3,460.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,056.12 / $3,056.12 / $5,988.34	Professional		$3,056.12	$3,056.12	$5,988.34
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,129.89 / $5,781.85 / $15,156.70	Facility		$4,129.89	$5,781.85	$15,156.70
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,201.77 / $3,433.93 / $6,593.15	Professional		$2,201.77	$3,433.93	$6,593.15
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,510.41 / $3,904.75 / $7,640.30	Facility		$3,510.41	$3,904.75	$7,640.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,510.41 / $3,510.41 / $3,510.41	Professional		$3,510.41	$3,510.41	$3,510.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,550.04 / $2,550.04 / $2,550.04	Facility		$2,550.04	$2,550.04	$2,550.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,861.53 / $2,550.04 / $5,325.75	Professional		$1,861.53	$2,550.04	$5,325.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,138.72 / $4,129.89 / $5,738.05	Professional		$3,138.72	$4,129.89	$5,738.05
United Facility/Professional Professional Modifier Low / Median / High Price $1,373.57 / $2,060.36 / $3,399.22	Professional		$1,373.57	$2,060.36	$3,399.22