Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,023.07 / $2,023.07 / $5,730.61	Facility		$2,023.07	$2,023.07	$5,730.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,023.07 / $2,436.69 / $3,236.90	Professional		$2,023.07	$2,436.69	$3,236.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,593.77 / $3,593.77 / $3,593.77	Professional		$3,593.77	$3,593.77	$3,593.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,856.45 / $6,799.03 / $17,823.16	Facility		$4,856.45	$6,799.03	$17,823.16
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,589.13 / $4,038.05 / $7,753.06	Professional		$2,589.13	$4,038.05	$7,753.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,007.31 / $4,127.97 / $8,984.43	Facility		$4,007.31	$4,127.97	$8,984.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $4,127.97 / $4,127.97 / $4,127.97	Professional		$4,127.97	$4,127.97	$4,127.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,886.72 / $2,886.72 / $2,886.72	Facility		$2,886.72	$2,886.72	$2,886.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,107.31 / $2,886.72 / $5,599.88	Professional		$2,107.31	$2,886.72	$5,599.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,690.90 / $4,856.45 / $6,747.24	Professional		$3,690.90	$4,856.45	$6,747.24
United Facility/Professional Professional Modifier Low / Median / High Price $1,615.22 / $2,422.83 / $3,997.24	Professional		$1,615.22	$2,422.83	$3,997.24